A Patient with Multisystem Trauma Has Been in the ICU

question 14

Multiple Choice

A patient with multisystem trauma has been in the ICU for 6 days after sustaining a closed head injury,a right-sided pneumothorax,right rib fractures,a grade IV liver laceration,a pancreatic contusion,and a right acetabular fracture.The patient is still intubated and mechanically ventilated and has a chest tube,Foley catheter,and two abdominal drains.The patient's hemodynamic assessment reveals the following values: BP,94/66 mm Hg; HR,118 beats/min; T,38.7° C; CVP,5 cm H₂O; wedge pressure,6 mm Hg; cardiac index,6.1; and systemic vascular resistance,450 dynes/sec.What is the most likely cause of this hemodynamic picture?

• A) Septic shock
• B) Hemorrhagic shock
• C) Cardiogenic shock
• D) Neurogenic shock