A 68-year-old woman presents with fever, rigors, and confusion. She is receiving her second litre of Hartmann's solution and urine dipstick is positive for leucocytes and nitrites. The team is preparing to commence noradrenaline through a peripheral cannula.
| Observation |
Value |
| Heart rate |
122/min |
| Blood pressure |
72/40 mmHg |
| GCS |
12 |
| Respiratory rate |
32/min |
| Oxygen saturation |
Poor trace |
State one (1) advantage of starting vasopressors peripherally and summarise the safety profile of this approach.
(Marked out of 2.0)
/ 2
List two (2) measures that reduce complications if peripheral extravasation occurs.
(Marked out of 2.0)
/ 2
Outline four (4) steps in managing vasopressor extravasation.
(Marked out of 4.0)
/ 4
List three (3) ways to confirm venous central-line placement, including the expected finding for each.
(Marked out of 3.0)
/ 3
Noradrenaline is running at 30 micrograms/min. Name the most appropriate second-line agent for each focused echo finding.
(Marked out of 2.0)
| Echo finding |
Second-line agent |
| Poor LV systolic function |
|
| Hyperdynamic LV function |
|
/ 2
Total Score: 0 / 13
Percentage: 0%
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