NE
Forum Guru
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Posts: 504
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A 34 year-old female with HIV and active Pneumocystis pneumonia is admitted to the hospital. Her last CD4 count was 44 cells/mm3. She has been doing reasonably well since admission with a stable course on appropriate antibiotics. Two days into the hospitalization, she is found to be hypotensive and tachycardic. Her blood pressure is 80/40 mm Hg and her pulse is 110/min. Her temperature is 38.3 C (101 F) orally. Her extremities are cool and damp. Her mental status examination is normal. The remainder of her physical examination is unchanged. Which of the following is the most appropriate therapy?
A. Intravenous fluids
B. Intravenous pressor support
C. Central venous pressor support
D. Add additional antibiotics to treat empiric sepsis
E. Blood transfusion
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| doc_clotaire
Forum Guru
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A. Intravenous fluids
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| Justice
Forum Fanatic
Topics: 117
Posts: 2,323
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Hypovolemia should be fixed first
A. Intravenous fluids
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