Case #7 - A 55 year old alcoholic with abdominal pain and hypotension. CXR shows a large, globular heart and a left pleural effusion. The hematocrit is 45.
SD | Mean | 02 Sat. | |||
RA (mmHg) | 1 | .49 | CO (L/m) | 3.0 | |
RV (mmHg) | 20/0 | .49 | SVR (units) | 19.7 (1570) | |
PA (mmHg) | 20/10 | 13 | .49 | PVR (units) | 3.0 (240) |
PCWP(mmHG) | 4 | .90 | |||
BP (mmHG) | 80/50 | 60 |
FI02 | pH | P02 | 02 Sat. | PC02 | |
ABG | .21 | 7.34 | 80 | .90 | 30 |
Mixed Venous | 7.31 | 29 | .49 | 38 | |
AV-02 Diff (Vol%) 8.2 |
What would the initial treatment be? Answer