[Expert Solution]: Because of the patient’s increased risk of…

Because of the patient’s increased risk of bleeding, TPA is deferred by the ED/ICU team. The patient’s blood pressure is stabilized with a bolus of intravenous crystalloid (2L NS) and initiation of a norepinephrine infusion (titrated to maintain SBP > 90, MAP > 65), and the patient is taken for emergent suction thrombectomy by the IR team. Following the procedure, the patient return to the ICU for continued management. Despite successful thrombectomy and improved right-heart function on repeat echocardiogram, the patient’s vasopressor requirements fail to improve, and his LFTs/ renal function testing indicate worsening orgain failure and progression to multiple organ dysfunction syndrome (MODS), requiring initiation of CRRT. 1.) What is another factor potentially contributing to this patient’s refractory shock? 2.) Please define MODS. What are nursing considerations for caring for the patient suffering from refractory shock/ MODS?