Case #3 - A 55 year old female admitted with chest pain and shock. The ECG shows acute ischemic changes in the inferior limb leads.

SD Mean 02 Sat.
RA (mmHg) 14 .55 CO (L/m) 2.5
RV (mmHg) 30/15 20 .55 SVR (units) 22.4 (1790)
PA (mmHg) 30/11 20 .55 PVR (units) 4.8 (380)
PCWP(mmHG) 8 .90
BP (mmHG) 90/60 70

 

FI02 pH P02 02 Sat. PC02
ABG .21 7.38 85 .90 35
Mixed Venous 7.34 32 .55 41
AV-02 Diff (Vol%)  7.0

What is the diagnosis, and how would you treat her?  Answer