Hypovolemic shock Quiz: Ace Your Exams
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A 66-year-old man is brought to the emergency department after an episode of syncope at home. The patient is unable to provide a history due to altered mental status. The patient’s wife states that he had been in his usual state of health. This morning the patient stood up from a chair, went into the bathroom, and suddenly collapsed. The patient has not seen a physician in several years and takes no medications. The patient smokes 2 packs of cigarettes per day and does not drink alcohol. Temperature is 36.0 °C (96.8 °F), blood pressure is 88/50 mmHg, pulse is 120/min, and oxygen saturation is 94% on room air. The patient is ill-appearing and pale, and has cool clammy extremities. A midline abdominal mass is palpated. Rectal examination is unremarkable. Blood glucose is within normal limits. The patient is started on intravenous fluids and broad-spectrum antibiotics. Results from initial blood work are detailed below. Which of the following is the next best step in management?
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