Stop Stress Ulcer Prophylaxis When Patients Leave the ICU

April 2014

Are H2-blockers making a big comeback for stress ulcer prophylaxis?

It's controversial.

Up to 1 in 4 high-risk ICU patients have GI bleeding without prophylaxis...leading to increased mortality and longer hospital stays.

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Table of Contents

Diabetes Choose Metformin Add-Ons Based on A1C, Side Effects, Cost
Hypertension Focus on Urgent FOLLOW-UP for Most Patients With Severe HTN
Women's Health Reassure Pregnant Women That Acetaminophen Is Safer Than NSAIDs
COPD Consider Anoro Instead of Twice Daily Combivent for COPD
Neurology & Pain Be Aware That Zohydro ER is a NON-Tamper Resistant Long-Acting Hydrocodone
Neurology & Pain Use Treatment Agreements to Improve Opioid Safety
Asthma Consider Short Course of Dexamethasone for Asthma Exacerbations in Kids
Men's Health Choose a PDE5 Inhibitor Based on Cost and Convenience
Heart Failure Titrate Digoxin Doses for A Fib to Target Heart Rate and NOT a Specific Level
Stroke Minimize Stroke Risk in Younger Women
Ulcers Stop Stress Ulcer Prophylaxis When Patients Leave the ICU
Phosphate Separate Doses of Velphoro From Levothyroxine, Doxycycline, or Bisphosphonates
Restless Legs Continue to Use Dopamine Agonists First for Restless Legs Syndrome