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A 65-year-old man with a medical history of coronary artery disease, hypertension, hyperlipidemia, and heart failure is admitted to (ICU) with suspected pneumonia and sepsis versus acute decompensated heart failure. The patient’s chief concern is shortness of breath, for which he requires intubation. Pertinent laboratory values include white blood cell (WBC) count 12.5, hemoglobin (Hgb) 14.2, platelet count 156, sodium (Na) 138, potassium (K) 4.3, chloride (Cl) 100, HCO3 19, serum creatinine (SCr) 0.9: temperature 39Â°C, Hr 110 beats/minute, O2 saturation 90%, and mean arterial pressure (MAP) 68 mm Hg. 1. Assess his hemodynamic status and the need for vasopressor. 2. 2 days later his MAP dropped to 55 mm Hg and the patient became agitated, what will be your therapeutic plan in this situation? 3. What is the whole therapeutic strategy for this patient during his stay in ICU?
SCIENCE
HEALTH SCIENCE
NURSING
PHCL 434

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