A 54-year-old man with alcoholic cirrhosis and portal hypertension presents with hematemesis and melena. Vital signs show BP 90/55, HR 118, RR 20, SpO2 98% on room air. Endoscopy reveals actively bleeding esophageal varices. Laboratory studies show hemoglobin 7.2 g/dL and INR 2.8. He denies prior variceal bleeding. Beyond urgent endoscopic therapy, he is initiated on a medication that reduces splanchnic blood flow through vasoconstriction. Which agent was most likely administered?
- A)Omeprazole
- B)Docusate
- C)Mesalamine
- D)OctreotideGABARITO
- E)Orlistat
Explicação
Octreotide is a somatostatin analog that decreases splanchnic blood flow and portal pressure, useful in acute variceal bleeding. Ver explicação completa e trilha adaptativa →