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what drug class is NOT recommended for variceal bleeds??
NSAIDs
Abx prophylaxis for active esophageal varices (agent, dosing, and duration)
ciprofloxacin 500 mg po bid x 7 days
propanolol initial dosing for varices
20-30 mg po qd
immediately upon presentation variceal bleeding what is the treatment?
max dose of propanolol if patient has ascites
100 mg
monitoring parameters for NSBBs
Nadalolol initial dosing
20-30 mg po qd
what tools are used to assess severity of cirrhosis?
Child-Pugh and MELD
if > 5 L removed via paracentesis, albumin has been shown to decrease morbidity and mortality. how much albumin to administer?
50% albumin IV and give 6-8 g albumin per liter removed
decompensated cirrhosis
what is the medical management of portal HTN?
dictated by the complications (i.e. hemorrhaging - prevent bleeding)
what class of medications do we want to avoid in cirrhosis?
PPIs
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