History of systolic heart failure

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Reference no: EM133796576

Question

An 85-year-old man with a history of systolic heart failure, type 2 diabetes mellitus, hypertension, and stage 3 chronic kidney disease is admitted to the intensive care unit to be evaluated for hypotension thought to be due to urinary tract infection/systemic inflammatory response syndrome unresponsive to intravenous fluids. He is also confused and does not have capacity to make decisions. His current blood pressure is 70/40 mm Hg and pulse 130 beats/minute. You would like to place a central line for pressor support and recognize that informed consent is necessary before the procedure can be performed. He does not have any next of kin available. What is the best next step in the management of this situation?An 8-year-old boy and his mother present for evaluation after a motor vehicle collision. The mother has only minor trauma. However, her son is in hemorrhagic shock and requires blood product transfusions. The mother consents to the blood transfusion. Shortly after their arrival while awaiting arrival of the packed red blood cells, the boy's father arrives and refuses the blood transfusion of the child on religious grounds. Which statement is true regarding minors and parental consent for medical care?

Reference no: EM133796576

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