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?

Question

Quizplus · Accepted Answer

The patient with multiple injuries is at risk for overwhelming infections and sepsis.The source of sepsis in the trauma patient can be invasive therapeutic and diagnostic catheters or wound contamination with exogenous or endogenous bacteria.The source of the septic nidus must be promptly evaluated.Gram stain and cultures of blood,urine,sputum,invasive catheters,and wounds are obtained.

A Patient with Multisystem Trauma Has Been in the Intensive