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A 64-Year-Old Woman Is Hospitalized After Injuring Her Right Hip

Question 38

Multiple Choice

A 64-year-old woman is hospitalized after injuring her right hip when she slipped on ice while carrying groceries.  X-ray reveals a right femoral neck fracture, and the patient undergoes a total hip arthroplasty with no operative complications.  Two days after surgery, the patient develops acute hemodynamic decompensation.  A contrast-enhanced CT scan of the chest is immediately obtained; a sagittal view is shown below. A 64-year-old woman is hospitalized after injuring her right hip when she slipped on ice while carrying groceries.  X-ray reveals a right femoral neck fracture, and the patient undergoes a total hip arthroplasty with no operative complications.  Two days after surgery, the patient develops acute hemodynamic decompensation.  A contrast-enhanced CT scan of the chest is immediately obtained; a sagittal view is shown below.   In-hospital administration of which of the following is most appropriate for reducing the risk of patients developing this complication? A) Beta-adrenergic antagonist B) Fresh-frozen plasma C) Intravenous hydration D) Low-molecular-weight heparin E) Perioperative antibiotics F) Tissue plasminogen activator In-hospital administration of which of the following is most appropriate for reducing the risk of patients developing this complication?


A) Beta-adrenergic antagonist
B) Fresh-frozen plasma
C) Intravenous hydration
D) Low-molecular-weight heparin
E) Perioperative antibiotics
F) Tissue plasminogen activator

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