The patient is a gravida 6, para 1
She is admitted after a cesarean section after an amniotic embolus. Her heart rate (HR) is more than 150 beats/min with a systolic BP less than 80 mm Hg. Her temperature is 38 C, and her condition has caused her to develop prerenal azotemia. The patient was fluid resuscitated through a double-lumen catheter, which was placed into her right femoral access, and started on vasopressors with a fair response (BP, 80/50 mm Hg; HR, 122 beats/min). Because of her diagnosis and a concern regarding fulminating sepsis, the patient was begun on CVVH. Identify three complications of CVVH therapy.
a. Fat emboli, increased ultrafiltration, and hypertension
b. Hyperthermia, overhydration, and power surge
c. Air embolism, decreased inflow pressure, and electrolyte imbalance
d. Blood loss, decreased outflow resistance, and acidbase imbalance
Question 2A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus
Which of the following signs and symptoms obtained as part of the patient's history might indicate the presence of hyperglycemia?
a. Recent episodes of tachycardia and missed heart beats
b. Decreased urine output accompanied by peripheral edema
c. Periods of hyperactivity with weight gain
d. Increased thirst and increased urinary output
Question 3A 78-year-old patient was admitted to the critical care unit with cirrhosis of the liver. In cirrhosis of the liver, which of the following laboratory values is expected to drop?
a. Albumin
b. Total bilirubin
c. Alkaline phosphatase
d. Aspartate aminotransferase
Question 4Downward displacement of the hemispheres, basal ganglia, and diencephalon through the tentorial notch is indicative of
a. central herniation.
b. uncal herniation.
c. cingulate herniation.
d. infratentorial herniation.
Question 5The most serious complication of lumbar puncture in a critically ill patient is
a. bacterial meningitis.
b. dural tear.
c. brainstem herniation.
d. spinal cord trauma.
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