som
Forum Guru
Topics: 59
Posts: 308
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52 yr pt with long h/o RA undergoes emergent appendectomy while vivsitng relatives. following surg she becomes persistently hypotensive and tachycardic with bp=80/55 mm of hg and HR= 120/min. low bp doesnot respond to multiple boluses of ringer. also she is fatigued and labs show potasium=5.3 meq/l. which of the following is appropriate next step:
a) continue withNS. obtain nephrology conssult
b?0bl.culture, abx, add pr c to Rx sepsis
c)emerg echo to eval CHF
d)abd ct to look for abscess
e)serum cortisol level and IV ns and hydrocortisone
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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e) serum cortisol level and IV ns and hydrocortisone is my answer. She was probably on steroid therapy (due to RA) .
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| frank100
Forum Guru
Topics: 48
Posts: 586
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agree it is (e)
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| cbenitesch
Forum Senior
Topics: 10
Posts: 141
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I think is E)
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| jvo_md
Forum Senior
Topics: 22
Posts: 189
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First calcium gluconate....then E is the answer
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| som
Forum Guru
Topics: 59
Posts: 308
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E is right
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