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학습 자료 둘러보기 →In a patient with hematemesis and liver disease, assume an acute upper GI bleed until proven otherwise. The first priority is assessing hemodynamic stability.
Monitor blood pressure and heart rate immediately. A report of dizziness upon standing is a red flag for orthostatic hypotension, defined as a drop in systolic BP of at least 20 mmHg or diastolic BP of 10 mmHg.
Compensatory tachycardia and narrowed pulse pressure are early signs of hypovolemic shock. Do not rely solely on a single normal BP reading; serial orthostatic vitals are crucial to detect occult volume loss before decompensation occurs.
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