A 62-year-old patient is scheduled for elective right total…
A 62-year-old patient is scheduled for elective right total knee arthroplasty. He underwent placement of a drug-eluting coronary stent seven months ago following a non-STEMI and remains on dual antiplatelet therapy with aspirin and clopidogrel. His home medications also include metoprolol succinate and atorvastatin. He has been asymptomatic since the stent placement and reports he can climb two flights of stairs without chest pain or dyspnea. Which of the following recommendations is most appropriate?
Read DetailsYou are called to the PACU to assess a patient with high blo…
You are called to the PACU to assess a patient with high blood pressure. On arrival you find the blood pressure is 183/97 with HR of 72, SpO2 97%, respiratory rate of 12, and a temp of 97.2°F. The patient reports no pain and reports feeling calm. The PACU nurse tells you they are going to grab the patient a warm blanket since the patient is shivering. You decide to order:
Read DetailsWhile on cardiopulmonary bypass, you notice the MAP has drop…
While on cardiopulmonary bypass, you notice the MAP has dropped from 76 mmHg to 58 mmHg. The perfusionist has administered a phenylephrine bolus without improvement. On examination, the patient’s face appears plethoric with a ruddy red-purple coloration, mild facial edema, and jugular venous distention. The most likely cause is:
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