A 65-year-old woman with a history of COPD was discovered un…
A 65-year-old woman with a history of COPD was discovered unconscious at home 4 hours ago. She is now intubated and is receiving mechanical ventilation. A flow-directed pulmonary artery catheter has been inserted. Relevant data below. Pulse 136/min Blood pressure 76/60 mmHg Pulmonary artery pressure 17/6 mmHg Pulmonary capillary wedge pressure 4 mmHg Cardiac output 3.8 L/min Systemic vascular resistance 1354 dynes/sec/cm-5 Central venous pressure 1 mmHg The most likely cause of this patient’s hypotension is
Read DetailsA patient with advanced chronic obstructive pulmonary diseas…
A patient with advanced chronic obstructive pulmonary disease is admitted to the ICU. The patient is placed on 24% air entrainment mask and has a pulmonary artery catheter inserted. PVR 720 dynes PaO2 57 torr The physician orders an increase to 28% oxygen via air-entrainment mask, after the increase in O2, PVR 400 dynes PaO2 72 torr What would you recommend?
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