Don't Focus on the INR When Treating Acute Bleeding in Cirrhosis

December 2019

You'll be asked how to manage patients with cirrhosis who present with an acute bleed...GI, intracerebral hemorrhage, etc.

Continue to use established treatments...such as endoscopy plus octreotide for variceal bleeds or a PPI for nonvariceal upper GI bleeds.

Consider using thromboelastography (TEG) testing, if available.

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Table of Contents

Pneumonia Limit Broad-Spectrum Empiric Antibiotics for Inpatient CAP Treatment
Dermatology Be Ready to Expedite Treatment for Stevens-Johnson or Other Derm Emergencies
Gastroenterology Consider More Conservative Strategies When Treating Acute Diverticulitis
Venous Thromboembolism Avoid Rivaroxaban for VTE Prophylaxis in Medical Patients
Hemorrhage Don't Focus on the INR When Treating Acute Bleeding in Cirrhosis
E-Cigarettes Use a Hospital Visit to Help E-Cig Users Stop Vaping
Seizures Consider Intranasal Midazolam Over Rectal Diazepam for Acute Seizures
Diabetes Meds Think of Sulfonylureas as CV Neutral
Contraceptives Add Vaginal Contraceptive Rings to Your Presurgical Medication Review
New Generics Watch for Confusion Between NovoLog and Its New Generics