Which agents can be used to correct-stabilize patients ekg

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Reference no: EM133807110

Problem

HLM a 59 YO Black female Ht 5'4" WT 160 lbs admitted to SICU S/P cholecystectomy. The patient was doing well for the next 2 days but on the third day, she was found to be in a severe septic syndrome and severe dehydration status with BP 80/45. HR 125 RR 35 T-104, UO of 15 ml/Hr. SCr 2.6 BUN 59 Na 157 K 6.7 Cl 120 CO2 19 Glu 200 WBC 24 Hgb 6.5 Hct 20 Plt 130 albumin 2.3 Lactic acid 6.2. ABGs: pH 7.15 PCO2 30 PO2 93 HCO2 18 02 sat 95 BE -3. The patient was started on 1000 mL of Ringer's Lactate stat then 2L @ 200 ml/Hr. EKG shows tachycardia, prolonged PR intervals, high peak T waves and widened QRS complexes. Blood, urine and wound samples were sent to the lab for cultures and sensitivity. Get the instant assignment help. The blood and wound cultures came back positive for Enterobacter cloacae, MRSA and Bacteroides fragilis. Which agents can be used to correct/stabilize the patient's EKG?

Reference no: EM133807110

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