Approach to postoperative hypotension Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 67-year-old man is evaluated for low blood pressure several hours after an elective left hemicolectomy for malignant-appearing polyps in the descending colon. His past medical history is significant for alcohol-induced cirrhosis and hypertension. Current medications include amlodipine and propranolol. Temperature is 37.0 ºC (98.6 ºF), pulse is 114/min, respiratory rate is 20/min, and blood pressure is 76/42 mmHg. The patient is given 3 liters of IV 0.9% saline. Repeat blood pressure after fluids is 80/44 mmHg. On examination, the patient is ill-appearing with significant pallor. The abdomen is firm and diffusely tender to palpation. CT imaging of the abdomen shows retroperitoneal fluid with heterogeneous high attenuation. Which of the following is the best next step in management?  

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