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Cirrhosis and Panc

QuestionAnswer
Octerotide Sandostatin - synthetic hormone that effectively stops bleeding by constricting viscera of GI tract and portal-vein inflow. Eso Var.
Beta blockers Propranolol or nadolol are used as a prophylaxis preventative measure for bleeding in esophageal varices - lower BP - Eso Var
Nitrates Isosorbide lower portal pressure via vasodilation and portal pressure - used in combo with beta blockers. Esophageal varices.
Asthma and Diabetes Patients Should stick to nitrates as beta blockers will mask hypoglycemia and will lead to bronchospasms
Balloon Tamponade Surgical intervention to pace a special tube that inflates in the esophagus and stomach to compress the varices and stop blood.
Sclerotherrapy A special device that injects a special sclerosant agent that causes the varice to shrink and clot stoppinng the bleeding.
Esophageal Banding Endoscopic variceal band ligation will place tiny rubber bands to cutoff blood flow and prevent bleeding by varices.
Lactulose Osmotic laxative increases osmotic pressure drawing fluid into the colon preventing ammonia absorption - gets released by poo.
Neomycin Broad-spectrum antibiotic given alongside lactulose if that isn't strong enough alone - destroys gut flora that reabsorbs ammonia.
Created by: Wasurenboh
 

 



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