When is fluid volume replacement therapy indicated for lower gastrointestinal (GI) bleeding (LGIB)?

Updated: Jul 26, 2019
  • Author: Burt Cagir, MD, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Patients in shock should receive fluid volume replacement without delay. [5] Colloid or crystalloid solutions may be used to achieve volume restoration before administering blood products. PRBC transfusions should maintain the hemoglobin level above 7 g/dL, with a threshold of 9 g/dL in those with massive bleeding or significant comorbid conditions, or if there may be a delay in more definitive treatment. [5]


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