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CCRNFrequently TestedEndo/Heme/GI/Renal 21%
stabilize first, scope second, always

GI Bleeding (Upper and Lower)

2

Large-Bore IVs

First priority after recognition

50-100 mL

Melena Threshold

Minimum blood for black stool

8+ hours

Melena Onset

Time for blood to transit GI tract

Upper vs Lower GI Bleeding

the ligament of Treitz is the dividing line

Upper GI

Above the ligament of Treitz

  • Presentation Hematemesis, coffee-ground emesis, melena
  • Common causes Peptic ulcer disease, esophageal varices, Mallory-Weiss tear, gastritis
  • Diagnosis EGD (esophagogastroduodenoscopy)
  • BUN/Cr ratio Often elevated (digested blood increases BUN)

Lower GI

Below the ligament of Treitz

  • Presentation Hematochezia (bright red blood per rectum)
  • Common causes Diverticulosis (#1), angiodysplasia, colorectal cancer, hemorrhoids
  • Diagnosis Colonoscopy (once stabilized)
  • Note Most lower GI bleeds stop spontaneously

Variceal Bleeding

Esophageal varices develop from portal hypertension (usually cirrhosis). These thin-walled, dilated veins can rupture catastrophically.

1

Hemodynamic stabilization (two large-bore IVs, type and cross, transfuse)

2

IV octreotide (reduces portal pressure and splanchnic blood flow)

3

Emergent EGD with band ligation or sclerotherapy

4

If refractory to endoscopic treatment, balloon tamponade (Blakemore or Minnesota tube) as a bridge

5

TIPS (transjugular intrahepatic portosystemic shunt) for recurrent or refractory variceal bleeding

General Management Priorities

Hemodynamic instability takes priority over diagnostic workup. Stabilize first, then scope. A patient who is hypotensive and tachycardic needs IVs, fluids, and blood products before any scope is wheeled in.

Two large-bore (16-18g) peripheral IVs immediately

Type and crossmatch, CBC, coags, BMP, lactate

Crystalloid resuscitation, transfuse pRBCs if Hgb <7 (or <9 in active bleeding with instability)

NPO status, continuous monitoring, Foley for strict I&O

PPI infusion for suspected upper GI (peptic ulcer)

Hold anticoagulants, reverse if indicated

Key Values to Memorize

Melena = 50-100 mL blood

Melena onset 8+ hours

Transfuse Hgb <7 (stable)

Two 16-18g large-bore IVs

Octreotide for varices

TIPS for recurrent variceal

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Exam Traps

Stabilize BEFORE scope

Hemodynamic instability takes priority over diagnostic workup. Two large-bore IVs, type and crossmatch, fluid resuscitation, and blood products come before endoscopy. The exam will present an unstable patient and ask what to do first. The answer is never "schedule EGD."

Avoid NG tube placement in suspected variceal bleeding

Inserting a nasogastric tube in a patient with suspected esophageal varices can trigger massive hemorrhage by irritating or rupturing fragile variceal tissue. The risks outweigh the diagnostic benefit.

Hematochezia in an unstable patient may be a massive upper GI bleed

Bright red blood per rectum typically suggests lower GI bleeding. But when a patient is hemodynamically unstable with hematochezia, blood may be transiting so rapidly from an upper source that it does not have time to turn black. Always consider a massive upper bleed.

Melena requires at least 50-100 mL of blood

It takes a minimum of 50-100 mL of blood in the GI tract to produce melena (black, tarry stool). The blood must remain in the GI tract for at least 8 hours for bacterial degradation to occur. Melena can persist for up to 5 days after bleeding stops.

Hematochezia Warning

Hematochezia (bright red blood) in a hemodynamically UNSTABLE patient? Could be a massive UPPER GI bleed, not just lower. Do not assume.

Variceal Bleeding Protocol

Variceal bleeding protocol is octreotide + emergent EGD. If refractory, balloon tamponade. TIPS for recurrent episodes.

1
Upper GI Bleed

Think of a leak near the top of a dam. Water (blood) flows down a long river (the GI tract) before exiting at the bottom. By the time it exits, it has changed color (melena = black, tarry). Common causes are peptic ulcers, esophageal varices, and Mallory-Weiss tears.

2
Lower GI Bleed

A leak near the bottom of the dam means blood exits quickly and looks fresh (hematochezia = bright red). The ligament of Treitz divides upper from lower. Common causes are diverticulosis, hemorrhoids, colorectal cancer, and angiodysplasia.

3
The Exception

A massive crack near the top of the dam can send water rushing through so fast it still looks fresh at the bottom. That is why bright red blood in an unstable patient might actually be an upper bleed. Volume and speed matter.

4
First Response

No matter where the leak is, your first job is to prevent the valley from flooding (hemodynamic stabilization). Plug the dam later (endoscopy). Stabilize first, scope second.

Stabilize. Two large-bore IVs. Type and cross. Then find the leak.
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Reviewed by Maya P., PrepSolution Content Editor, Critical Care Nursing
Sources verified against AACN 2026 standards
Updated May 2026