A 44-Year-Old Woman Experienced an Acute Episode of Severe Abdominal

A 44-year-old woman experienced an acute episode of severe abdominal pain and suddenly vomited a large volume of bloody fluid.Her husband had her brought to the hospital by ambulance.The emergency room physician estimated the she had lost about 600 mL of blood.On physical examination,she had a blood pressure of 85/65 mm Hg and was tachycardic,with a heart rate of 110 beats/minute.The patient's skin was cool,moist,and pale.The physician's tentative diagnosis was of a bleeding ulcer. What would the acute blood loss from her duodenal ulcer be expected to do?

A) Decrease central venous pressure and increase cardiac output
B) Increase central venous pressure and decrease mean arterial pressure
C) Decrease central venous pressure and decrease cardiac output
D) Increase mean arterial pressure and decrease cardiac output
E) Decrease central venous pressure and increase aortic pulse pressure