PHintermediate6 min
Five hundred milliliters later
Handover
Same story as the bike case, except her knees will not let her pedal. Rest PCWP 14, mPAP 22. The protocol still has a 500 mL challenge. One bolus is a test. The second is a treatment you did not mean to write.
Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.
Goals
- · Fluid challenge done
- · Occult HFpEF unmasked