A Patient with Multisystem Trauma Has Been in the Intensive

question 20

Multiple Choice

A patient with multisystem trauma has been in the intensive care unit (ICU) for 6 days.The patient is still intubated and mechanically ventilated and has a chest tube,urinary drainage catheter,nasogastric tube,and two abdominal drains.The patient's vital signs include blood pressure (BP) ,92/66 mm Hg; heart rate (HR) ,118 beats/min; temperature (T) ,38.7° C; and central venous pressure (CVP) ,5 mm Hg.What is the most likely cause of this hemodynamic picture?

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

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Definitions:

Brainstem

The brainstem is the structure located at the base of the brain that connects the cerebrum with the spinal cord, and is responsible for controlling vital life functions such as breathing, heart rate, and blood pressure.

Optic Nerve

The cranial nerve that transmits visual information from the retina to the brain.

Facial Nerve

The seventh cranial nerve that controls the muscles of facial expression, taste sensation on two-thirds of the tongue, and the production of saliva and tears.

Trigeminal Nerve

A cranial nerve responsible for sensory information from the face and motor functions such as biting and chewing.