Hypovolemicintro6 min
Dry and tight — the numbers look empty
Handover
Night float calls you to a 64-year-old with a duodenal bleed. Two units are hanging, the third is not in the room yet. He is cool, thirsty, and oliguric. The PA catheter they floated in the unit shows RA 3, PCWP 6, CO 3.4, and a compensatory SVR. MAP is 58 and lactate 3.6. The intern wants dobutamine because CPO looks awful. The tank is empty.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · Volume restored
- · MAP ≥ 65
- · PCWP ≥ 10