A 65-year-old male, known case of hepatitis C and variceal bleeding now has hematemesis. His blood pressure is 80/60 mm Hg. There is splenomegaly and ascites, and initial hematocrit is 25%. Which of the following is the best initial management of the patient to be done before endoscopy?
Measurement of prothrombin time and transfusion with cryoglobulin if elevated
Empiric transfusion of platelets given splenomegaly
Administration of intravenous octreotide
Administration of a β-blocker (eg, propranolol)
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