Authors: Aaron Woofter, MD; Richard Goodgame, MD Series Editor: Richard Goodgame, MD

Disclosures

August 22, 2006

Management Questions

Could this episode of stress-related bleeding have been prevented?

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Should this patient have received prophylaxis for stress-related bleeding?

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On day 8 of the hospitalization, the patient was recovering from severe sepsis, on parenteral antibiotics, in renal failure (on hemodialysis), had an INR = 1.5, off vasopressors, able to take clear liquids, and had oxygen saturation of 93% on 20% O2 by nasal cannula, with large wounds in his left leg. What drug, route, and dose would you have used on day 8 of the hospitalization to prevent stress-related bleeding?

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