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Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum

medicine

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7 Posts

roshan

07/30/03 - 04:16 PM

1)26 y/o healthy male brought to the operating room after sustaining a R.tibial fracture in a MVC.All the workup was donewhich are normal except for r.tibial fracture.VSS. Immediately after Spinal anesthesia Patient b.p dropped from 120/80 (HR 78)to 70/40(85). 1 liter of NS was given intravenously but B.P didnt change.What Is your next line of management?what is ur doc for this condition.

2) For the same patient as described above>>>>became very hypotensive and bradycardic.After 5 min,pt pulse was not palpable and b.p was not recordable.Pt. was coded but code was unsuccessful.what do u do next?

gezira
Forum Junior

Topics: 13
Posts: 39

08/02/03 - 12:38 PM

i think , this s a surgical question am i right

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good luck

dr_perfect_stranger
Forum Newbie

Topics: 2
Posts: 25

08/02/03 - 03:44 PM

i think we should use something that support heart ......... so inotropic drug......like dopamine or dobutamine

zaki
Forum Guru

Topics: 92
Posts: 398

10/25/03 - 04:43 PM

fluid fluid fluid........
inotropics like dopamine, norepinephrine, epinephrine
atropine for bradycardia
pacemaker if bradycardia sustains

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Maverick

10/26/03 - 01:31 PM

INTERNAL HEMMORAGE NEEDS URGENT LABORATOMY

10/26/03 - 01:33 PM

CHLORED INTAVENAS

unni

11/14/03 - 03:45 PM

BP fall immediately after spinal - sympathetic blockade upon a pre-existing low bp cause.
Start ATROPINE first - to accelerate the heart.
FLUIDS,FLUIDS,FLUIDS,FLUIDS
Pressors - dobuatamine
Look for abd bleed

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