A 46-year-old man with cirrhosis presents with hematemesis and hypotension. Vital signs show BP 85/52 mmHg, HR 118/min, RR 20/min, temperature 37.2°C, and SpO2 98% on room air. Endoscopy confirms bleeding esophageal varices. Laboratory studies reveal hemoglobin 7.2 g/dL; no ascites on imaging. He receives a somatostatin analog that decreases splanchnic blood flow and portal venous pressure. Which of the following drugs was most likely administered?
- A)Lactulose
- B)Omeprazole
- C)Propranolol
- D)Desmopressin
- E)OctreotideGABARITO
Explicação
Octreotide is a somatostatin analog that reduces splanchnic blood flow and is used in the acute management of bleeding esophageal varices. It also inhibits release of several gastrointestinal hormones. The setting of portal hypertension with active variceal bl... Ver explicação completa e trilha adaptativa →