Miriam Glass Is a 78-Year-Old Female Scheduled for Compression Nail

Miriam Glass is a 78-year-old female scheduled for compression nail insertion of a left fractured hip.She was positioned for a spinal injection to induce spinal anesthesia.During the process,the anesthesia provider inadvertently inserted the spinal needle into the subarachnoid space,not noticing the error until the entire syringe of lidocaine was emptied into the patient.Miriam immediately experienced rapid onset of hypotension,bradycardia,and apnea.Miriam's unintentional condition is called __ and now must be managed with _.

A) total subarachnoid syndrome;mechanical ventilation
B) hypotensive apnea episode;tracheostomy and humidified positive end-expiratory pressure (PEEP)
C) cardiogenic shock;ACLS protocol
D) total spinal anesthesia;general endotracheal anesthesia

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