The patient presents with the following hemodynamic parameters: CVP 1, CI 1.7, PA
S/D 12/6, wedge 6, and SVR 300. Vital signs are 78/40, HR 60, RR 16, SaO2 98%. The
most likely cause is...
A. RVMI
B. Neurogenic shock
C. Septic shock
D. Hypovolemic shock - ✔️✔️Neurogenic shock
SVR < 800, think distributive shock. Next look at the CI; is it less than 2.5? Hypotension
and either a normal heart and/or bradycardia present narrows the type of distributive
shock as being neurogenic shock.
Severe hypothermic Pt's are at highest risk for which of the following rhythm?
A. A-Fib
B. Asystole
C. V-Fib
D. Sinus Brady - ✔️✔️V-Fib
Severe: 20-28 (coma, VF common)
The drug of choice for a patient exhibiting signs and symptoms of malignant
hyperthermia is:
A. Anectine
4
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