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[Verified Answer]: A Swan-Ganz Catheter is placed upon…

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A Swan-Ganz Catheter is placed upon arrival to the ICU, revealing a CVP of 1 mmHg, Cardiac Output of 9L/Min, and SVR 500. The patient receives an additional 2L LR bolus with improvement in his vasopressor requirements (Norepinephrine infusion decreased from 8mcg/min to 4mcg/min), lactic acid level (repeat 2mmol/L), and AKI (repeat serum creatinine 1.7mg/dl). The patient’s STAT blood cultures (obtained in ED) reveal gram-negative bacteremia (e. coli) and broad-spectrum coverage is adjusted per the recommendations of the infectious-disease specialist. 1.) Please discuss the findings of this patient’s hemodynamic monitoring, and implications for his care.

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