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Question of the Week
An 80-year-old intubated patient arrives in the PACU status post splenectomy for abdominal trauma. The patient had significant blood loss in the OR. Vitals are: BP = 90/60, HR = 125, RR = 30. What is the best initial treatment for this patient?
- Administer a bolus of isotonic fluids.
- Start a dopamine infusion of 5mcg/kg/minute.
- Increase the ventilator tidal volume.
- Administer sodium bicarbonate 1mg/kg.