رجل عمره ٥٧ سنة معروف بتليف الكبد بسبب التهاب الكبد C، وصل بقيء دم أحمر غزير. عنده استسقاء في البطن وأوعية عنكبوتية على الصدر. الضغط ٨٤/٤٨، النبض ١٣٠، الهيموغلوبين ٧٫١. ما الأدوية التي يتوقع الممرض البدء بها مع السوائل؟

A 57-year-old man with hepatitis C cirrhosis presents with large-volume bright red haematemesis. He has ascites and spider angiomas. BP 84/48, HR 130, Hb 7.1 g/dL. Which medications does the nurse expect to start alongside fluids?

1. IV octreotide and prophylactic antibiotics
2. A strong diuretic to reduce ascites quickly
3. High-dose oral propranolol immediately
4. IV heparin to prevent clots while on bed rest

Answer: A) IV octreotide and prophylactic antibiotics. Variceal bleeding: cautious fluids and transfusion, octreotide to lower portal pressure, prophylactic antibiotics (reduce infection and mortality), then endoscopic band ligation. Beta-blockers are for prevention after stabilisation, not during shock.