Your patient is a 42-year-old male with a history of alcohol abuse who is in severe distress with dysphagia and hematemesis. You note that he is becoming lethargic and is having trouble keeping his head up. His skin is cool and clammy. HR = 138, BP = 82/56, RR = 8, SaO₂ = 90%. Proper treatment of this patient would include all of the following EXCEPT:

Question

Quizplus · Accepted Answer

The proper treatment for this patient with severe distress and low blood pressure would include aggressive fluid resuscitation with an IV of NS, fluid challenge, placing the patient in shock position, and potentially intubation to protect the airway. However, dopamine infusion is not indicated in this situation as it can lead to further constriction of the blood vessels and decrease blood flow to vital organs. Instead, norepinephrine or epinephrine may be used to improve blood pressure and perfusion.

Your Patient Is a 42-Year-Old Male with a History of Alcohol