prasannakumar
Forum Senior
Topics: 24
Posts: 55
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An 18-year-old male is involved in a serious motor vehicle accident. He broke his pelvis and required an abdominal exploration to repair his bladder, internal iliac artery and small bowel perforation. He continued to do well but he continued to desaturate. Work-up revealed that his chest x-ray had some interstitial markings in the lower bases. His PO2 on 80% oxygen was 59 and his CO2 was 33. A pulmonary consult was obtained and recommended that a V/Q scan be done. It was negative. The patient's x-ray continues to worsen and he becomes increasingly difficult to oxygenate. You have now placed the patient on a PEEP of 10. The one hemodynamic parameter that you would like to monitor in this patient is:
A) Systolic blood pressure
B) Urine output
C) Cardiac output
D) Systemic vascular resistance
E) Central venous pressure
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| cirus
Forum Guru
Topics: 108
Posts: 740
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C
always monitor CO with PEEP by inserting a swanz catheter, as deterioration is an immediate indication to decrease PEEP to allow lungs to deflate
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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 Agreed with Cirus!
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| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
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yes agree with cardiac output
systolic bp confuses me though
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| dr in trouble
Forum Guru
Topics: 62
Posts: 610
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yes it is C
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