109: Liver Failure Part 2: Esophageal Varices

A cirrhosis patient has stable vitals, but then starts vomiting blood. What do you do next? This episode delves into a case study that highlights the urgent management of esophageal varices in liver failure patients. Host Sarah Lorenzini reveals how a rapid response call quickly spiraled into a life-threatening emergency, and the critical steps taken to stabilize the patient.Sarah explains the pathophysiology of cirrhosis and the development of esophageal varices, detailing the pharmacological and procedural interventions that can make the difference between life and death. You’ll get a comprehensive overview of evidence-based treatment strategies, how to manage complications, and the crucial role of nurses in patient care.Tune in to arm yourself with the knowledge to handle this critical liver emergency!Topics discussed in this episode:Management of a cirrhosis patient with a GI bleed How liver failure can lead to a bleeding esophagusChallenges of giving blood transfusions to liver failure patientsPharmacological interventions: octreotide, antibiotics, and beta-blockersProcedural interventions: endoscopic variceal ligation, TIPS procedure, and balloon tamponadeListen to Episode 77, “The Trauma, Diamond of Death:” https://podcasts.apple.com/us/podcast/77-the-trauma-diamond-of-death-4-treatment-priorities/id1535997752?i=1000633582257To learn more about balloon tamponade, check out this breakdown of the procedure: https://first10em.com/balloon-tamponade-of-massive-gi-bleeding/Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT
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