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Asked by waleomoakin
A 53-year-old woman presents to the emergency department with epigastric pain that began acutely. She has tachycardia and hypotension. An upright chest radiograph reveals pneumoperitoneum. Her lactic acid is 4.3 mmol/L. After administering 30 mL/kg normal saline solution, her blood pressure is 78/43 mm Hg and her mean arterial pressure is 55 mm Hg. After the bolus dynamic monitoring demonstrates low pulse pressure variation and an IVC ultrasound shows little variability with respiration. Which of the following is the most appropriate next intervention to achieve a mean arterial pressure target of 65 mm Hg? A. 1-L bolus of normal saline B. Norepinephrine infusion C. Phenylephrine infusion D. Transfusion of 1 unit whole blood
SCIENCE
HEALTH SCIENCE
NURSING

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