A client presents to the emergency department vomiting large amounts of bright red blood. The client has a history of alcohol abuse, and the physician suspects esophageal varices
The drug that is used to reduce splanchnic and hepatic blood flow and portal pressures is:
A) Propranolol, a ?–adrenergic blocking agent
B) Lisinopril, an ACE inhibitor
C) Ocetrotide, a long-acting synthetic analog of somatostatin
D) Famotidine, a histamine-2 blocker to decrease stomach acid
Ans: C
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Several methods are used to control acute hemorrhage, including pharmacologic therapy, balloon tamponade, and emergent endoscopic therapy. Pharmacologic methods include administration of ocetrotide, a long-acting synthetic analog of somatostatin. Beta blockers are commonly used to lower portal venous pressure, thereby preventing the initial hemorrhage. ACE inhibitors do not control acute hemorrhage.
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