Stress ulcers Quiz: Ace Your Exams
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A 67-year-old man is hospitalized for respiratory failure and septic shock that resulted from community-acquired pneumonia. He is intubated and is receiving IV fluid resuscitation, antibiotics, and vasopressor therapy. Vasopressors are titrated off over the next few days, and his ventilator settings are weaned in preparation for eventual extubation. On hospital day 5, a significant amount of blood is aspirated from his orogastric tube. Temperature is 37 °C (98.6 °F), pulse is 125/min, respirations are 14/min, blood pressure is 82/40 mmHg, and oxygen saturation is 95% on the ventilator. His morning laboratory studies are listed below. What is the next best step in management?


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