SOAL 1 1. To establish a diagnosis of shock, systolic blood pressure must be below 90 mm Hg. the presence of a closed head injury should be excluded. acidosis should be present by arterial blood gas analysis. the patient must fail to respond to intravenous fluid . clinical evidence of inadequate organ perfusion must be present. 2. During resuscitation, which one of the following is the most reliable as a guide to volume replacement? Pulse rate Hematocrit Blood pressure Urinary output Jugular ven...

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A 22 year old man is hypotensive and tachycardic after a shotgun wound tothe left shoulder. His blood pressure is initially 80/40 mmHg. After 2 litersof crystalloid solution his blood pressure increases to 122/84 mmHg Hisheart rate is now 100 beats per minute and his respiratory rate is 28breaths per minute. His breath sounds are decreased in the left hemithorax,and after initial IV fluid resuscitation, a closed tube thoracostomy isperformed for decreased left breath sounds with the return of a ...

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