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🌱 來自: initial management of gastrointestinal bleeding

Assess severity as initial management of gastrointestinal bleeding

VS including orthostatic Δs, JVP. Tachycardia (can be masked by βB use) suggests 10% volume loss, orthostatic hypotension 20% loss, shock >30% loss.

Scoring predicts rebleeding & mortality: AIMS65, ABC Score & Glasgow-Blatchford.

• When assessing vital signs, it is important to consider changes in blood pressure when moving from a lying down to a standing position (orthostatic changes), as well as the jugular venous pressure (JVP).

• Tachycardia, which can be masked by beta-blocker use, can indicate a 10% loss of blood volume.

• Orthostatic hypotension may indicate a 20% loss of blood volume, and shock can occur with a loss of more than 30% of blood volume.

Scoring systems

such as AIMS65, ABC Score, and Glasgow-Blatchford, can be used to predict the likelihood of rebleeding and mortality.