Medical MCQ
MCQ Ebook
Biochemistry
Microbiology
Pathology
All MCQs
Term Of Use
Privacy Policy
Contact Us
About Us
Search for:
Home
Ebooks
Questions
Search
Anaesthesia
A 68-year-old hypeensive man undergoes successful repair of a ruptured abdominal aoic aneurysm. He receives 9 L Ringer lactate solution and 4 units of whole blood during the operation. Two hours after transfer to the surgical intensive care unit, the following hemodynamic parameters are obtained: systemic blood pressure (BP) 90/60 mm Hg, pulse 110 beats per minute, central venous pressure (CVP) 7 mm Hg, pulmonary aery pressure 28/10 mm Hg, pulmonary capillary wedge pressure (PCWP) 8 mm Hg, cardiac output 1.9 L/min, systemic vascular resistance 1400 (dyne*s)/cm5 (normal is 900-1300), PaO2 140 mm Hg (FiO2 : 0.45), urine output 15 mL/h (specific gravity: 1.029), and hematocrit 35%. Given this data, which of the following is the most appropriate next step in management?
Administration of a diuretic to increase urine output
Administration of a vasopressor agent to increase systemic blood pressure
Administration of a fluid challenge to increase urine output
Administration of a vasodilating agent to decrease elevated systemic vascular resistance
Questions
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100