A 22-Year-Old Man Is Brought to the Emergency Department by Ambulance

question 552

Multiple Choice

A 22-year-old man is brought to the emergency department by ambulance after sustaining a gunshot wound to the abdomen during a home invasion.  The event occurred 45 minutes prior to arrival.  Because of hypotension, paramedics administered 1 L of normal saline en route to the emergency department.  On arrival, blood pressure is 98/62 mm Hg, pulse is 120/min, and respirations are 22/min.  The patient is awake and moaning in pain.  The lungs are clear to auscultation bilaterally, and heart sounds are normal.  One bullet wound is noted in the left upper quadrant.  The abdomen is tender and distended.  The patient is moving all his extremities, but they are cool and clammy.  Focused Assessment with Sonography for Trauma examination shows free fluid in the abdomen.  Continuation of additional normal saline fluid boluses in this patient would likely result in which of the following?

• A)Decreased risk for acute respiratory distress syndrome
• B)Decreased risk for hypothermia
• C)Increased risk for coagulopathy
• D)Increased risk for metabolic alkalosis

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Definitions:

Futures Contract

A standardized legal agreement to buy or sell something at a predetermined price at a specified time in the future.

Total Value

The comprehensive worth of an asset or company, considering all sources of value including tangible and intangible factors.

Futures Contract

A standardized legal agreement to buy or sell something at a predetermined future date and price, commonly used for commodities or financial instruments.

Barack Obama

The 44th President of the United States, serving from 2009 to 2017, and the first African American to hold the office.