Stress ulcers Quiz: Ace Your Exams
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A 72-year-old woman with a history of peptic ulcer disease and atrial fibrillation on warfarin is hospitalized with septic shock from a urinary tract infection. She is given IV fluids, antibiotics, and norepinephrine. She clinically improves and is weaned off the vasopressor. On hospital day 4, she has several episodes of coffee ground emesis. Temperature is 37 °C (98.6 °F), pulse is 90/min, respirations are 16/min, blood pressure is 110/78 mmHg, and oxygen saturation is 100% on room air. Upper endoscopy shows deep erosions in the antrum of the stomach, one of which has a visible vessel. Which of the following is the best next step in management?
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