A 43-year-old female (5’6”, 67 kg) with no relevant past medical history presents to the emergency department (ED) complaining of flank pain and fatigue. She has a respiratory rate of 18 breaths per minute, blood pressure of 80/52 mm Hg, heart rate of 112 beats per minute, and temperature of 38.9 °C. Laboratory values are notable for white blood cells 17 x 109/L, serum creatinine 2.1 mg/dL, and lactate 2.5 mmol/L. Chest X-ray imaging reveals clear lung fields. Fifteen minutes after arrival in the emergency department, the patient’s condition deteriorates further. Her vital signs are as follows: blood pressure 74/44 mm Hg, heart rate 124 beats per minute, respiratory rate 24 breaths per minute, and temperature of 38.8 °C. The patient is unresponsive to voice, and the decision is made to intubate due to altered mental status and inability to protect her airway. Which of the following is the best option for initial resuscitation? A. 1000 mL IV bolus of lactated Ringer’s solutionB. 2000 mL IV bolus of Plasma-LyteC. 2000 mL IV bolus of 0.9% sodium chlorideD. 500 mL bolus of 25% albumin
[Answered]: A 43-year-old female (5’6”, 67 kg) with no…
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