Which iv fluid would you give to patient that would increase

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Reference no: EM133807096

Problem

HLM a 59 YO Black female Ht 5'4" WT 160 Ibs is 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. SrCr 2.6 BUN 59 Na 157 K 6.7 Cl 120 CO2 19 Glu 200 WBC 24 Hgb 6.5 Hct 20 PIt 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. Despite receiving 7 liters of crystalloids, the patient's blood pressure remained at 90/65. Which IV fluids would you give to the patient that would increase the patient's oncotic pressure?

Reference no: EM133807096

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