A 20-year-old man is being treated for acute lymphoblastic leukemia. While neutropenic, he becomes severely hypotensive with a temperature of 38.5degC. His blood pressure is 80/60 mm Hg, pulse 120/min, and heart sounds are normal. The JVP is below the sternal angle, lungs are clear, and his extremities are warm and flushed. What would central hemodynamic monitoring reveal?For the above patient, select the hemodynamic parameters that are most likely to apply.
A 20-year-old man is being treated for acute lymphoblastic leukemia. While neutropenic, he becomes severely hypotensive with a temperature of 38.5degC. His blood pressure is 80/60 mm Hg, pulse 120/min, and heart sounds are normal. The JVP is below the sternal angle, lungs are clear, and his extremities are warm and flushed. What would central hemodynamic monitoring reveal?For the above patient, select the hemodynamic parameters that are most likely to apply.
💡 Explanation
A 20-year-old man is being treated for acute lymphoblastic leukemia. While neutropenic, he becomes severely hypotensive with a temperature of 38.5degC. His blood pressure is 80/60 mm Hg, pulse 120/min, and heart sounds are normal. The JVP is below the sternal angle, lungs are clear, and his extremities are warm and flushed. What would central hemodynamic monitoring reveal?For the above patient, select the hemodynamic parameters that are most likely to apply.
✓ Correct Answer: D. decreased RAP, increased CO, decreased SVR
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