Case Scenario #2The same patient was in the ICU 5 days later, intubated and sedated. The following is his assessment:Temp: 39.0*C -HIHR: 135 BPM - HIBP: 105/65 - OKWarm, dry, pink skinResp: Course/equal, 75% FiO2, O2 sats 92%CV: S1, S2, pulses 2+ all extremities, cap refill 2 secs all extremitiesGI: bowel sounds hypoactive x 4, abdomen tender, distended, soft, last BM 2 days agoSkin: RLE dressing intact drainage noted moderate, serosang. Case Scenario #2: DiagnosisWhat type of shock does this patient have, if any? oWant RR, labs, LOC, edema, look at dressingCompensated HypovolemicHypotensive HypovolemicCompensated Septic – abxHypotensive SepticNone – could have just been localized infectionIs there anything else you would want to assess?How would you treat it? Case Scenario #3The same patient is in the ICU 1 day later, still intubated and sedated. The following is his assessment:Temp 41*C - HIGHHR: 93 BPM – come down tooBP: 83/45 - LOWDry, cool, pale, mottled skin – not perfusing wellResp: Course/equal, 100% FiO2, O2 sats 89%CV: S1, S2, pulses 1+ slow all extremities, cap refill 4 secsBUE, 4-5 secs in BLE
Case Scenario #3: DiagnosisWhat type of shock does this patient have, if any?Compensated HypovolemicHypotensive HypovolemicCompensated SepticHypotensive SepticNoneIs there anything else you would want to assess?How would you treat it? -
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- Spring '17