Expect Less Use of H2-Blockers and PPIs in ICU

You'll see less use of acid reducers (ranitidine, pantoprazole, etc) for prevention of "stress ulcers."

Stress ulcer prophylaxis used to be ordered for most inpatients...to reduce GI ulceration and bleeding caused by the physical stress of illness. Now we know stress ulcer prophylaxis doesn't benefit floor patients...or even many ICU patients.

Plus stress ulcer prophylaxis should be stopped when GI bleeding risk drops...due to a patient improving or transferring out of an ICU.

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