Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Transcribed Image Text:31
3. Why should biopsies be taken at the time of endoscopy?
4. What pharmacological treatment should be given to reduce the risk of re-bleeding
following endoscopic hemostatic therapy?
5. What was the likely cause of the bleeding ulcer?
6. Were any risk factors present for NSAID induced ulcers?
Transcribed Image Text:30
D. Tasks/Discussion
Case 1:
A 62-year-old man presented to the A& E following hematemesis and melena. He suffered no
pain. His past medication history included Non ST elevated myocardial infarction (NSTEMI)
for which he had undergone Percutaneous coronary intervention (PCI and) bare metal stent
insertion 4 months previously. Mr BD stopped smoking 2 years previously, drinks alcohol in
moderation and is not obese. He was taking the following prescribed medications:
Aspirin 75 mg
Clopidogrel 75 mg
Ramipril 2.5 mg BID
Simvastatin 40 mg daily
Atenolol 100 mg
GTN spray prn
On investigation MR BD’s haemoglobin concentration was 8 g/dL. His BP was 98/60 with a
PR 120 beats per minute. There was no jaundice. Electrolytes were normal and INR was 1.0.
Endoscopy revealed an actively bleeding gastric ulcer.
1. What immediate treatment should Mr BD receive?
2. What treatment should he receive at the time of endoscopy?
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