Core Concepts in Colonoscopy

Douglas G Adler, MD

Chapter 11: Lower Gastrointestinal Bleeding (continued)

John R. Saltzman, MD, FACP, FACG, FASGE; Linda S. Lee, MD

How to Evaluate and Manage EVALUATION OF LOWER GASTROINTESTINAL BLEEDING Clinical Evaluation During the initial clinical evaluation of patients with any suspected gastrointestinal (GI) bleeding, including acute lower GI bleeding, resuscitation must proceed simultaneously with the placement of 2 large-bore peripheral catheters or a cordis catheter followed by administration of intravenous fluids (normal saline or lactated Ringer’s solution), packed red blood cells (PRBCs), if indicated, or both. When obtaining these patients’ histories, one should focus on symptoms of…