Liver & GIT
Which is not a treatment for acute variceal blood? (May 11)
i. B – adrenergic blockers like propranolol or nadolol Q (these are prophylactic drugs Q, not useful in acute bleeding)
ii. They reduce portal pressure through vasodilatory effects on both the splanchnic arterial bed and the portal venous system in combination with reduced cardiac output.
Decompression through portal systemic shunts – trans jugular intrahepatic porto systemic shunt (TIPS).
Ascites (Ref. H-18th Edi, Pg 2599)