The melena watch

71M with an upper GI bleed, scoped and injected this afternoon (bed 4), end of your day shift.

Select the 5 lines the night team actually needs, then commit.

• Duodenal ulcer injected and clipped at 15:00; repeat hemoglobin 84 at 18:00, stable from 82.
• If fresh melena, hematemesis, or systolic under 100: repeat CBC, activate the rebleed plan in the notes, and call the endoscopist on call, who knows him.
• Apixaban held; the restart decision belongs to the day team with cardiology, do not restart tonight.
• Two units cross-matched and held in the fridge; two working large-bore cannulas.
• Next hemoglobin due 02:00; transfuse under 70, or under 80 if actively bleeding, per the plan.
• He was admitted after feeling dizzy at his granddaughter's birthday party.
• Breakfast should be clear fluids if the night is quiet.
• He has been a widower since 2019 and lives alone.
• His AF was rate-controlled on admission; pulse has been 70 to 85 all day.
• GI clinic follow-up should be booked before discharge.