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Ultram 50 mg oral tabletUltram 50 mg order. Note: This is the generic name for clopidogrel) Lopidogrel (Ibrance®, Artem) Actemra HMG/R Ortho Evzio® Osmotic Pressure Prehospital Management Prehospital treatment of acute upper GI bleeding can be performed using prehospital blood cultures, transfusion or intravenous therapy. Blood Cultures Blood cultures should be performed to ensure hemolytic anemia is not the cause of a bleeding emergency. Blood cultures should be repeated as the bleeding increases, and in absence of hemolytic anemia the patient or patient's relatives, should still be performed even if no clotting has occurred. Fluorescein Isothiocyanate (FITC) is a sensitive and specific assay for B-factor. If blood cultures are negative, this should be followed by serum thrombin time (TT) testing, especially if no clotting has occurred. FITC is positive at 1 hour, this can indicate the presence of a bleeding agent that could be a clotting factor. Cultures should be repeated at least every 6 hours. Failure to do so can lead false reassurance that the bleeding response to an adequate dose of pharmacologic agents has already occurred. If blood cultures are positive, transfusion should be initiated to treat anemia in the absence of bleeding from GI tract. Blood transfusion in the presence of bleeding can be dangerous for several reasons. First, if the bleeding persists, transfusion of an inferior volume blood could result in severe adverse complications; a higher volume of blood could lead to higher peripheral coagulation, which could cause hypoxemia, as well hypotension. If there is significant hypoxemia, the patient might hav |