SOLVED4537

An 88-year-old male is brought in from his nursing home with reports of “coffee-ground emesis.” The patient has a history of dementia and cannot give you any history. He does not seem to have abdominal pain and is not actively vomiting. Rectal exam shows hemoccult-positive stool. Hemoglobin is measured at 8.5. He is hemodynamically stable. What is the best management for this patient? A. IV access, type and screen, IV PPI, admit to hospital B. Outpatient CT scan of abdomen and pelvis C. Zofran ODT, Oral PPI, discharge back to nursing home D. IV fluid bolus, IV PPI, discharge back to nursing home
SCIENCE
HEALTH SCIENCE
NURSING

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