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A Patient with Multisystem Trauma Has Been in the ICU

Question 15

Multiple Choice

A patient with multisystem trauma has been in the ICU for 6 days after sustaining a closed head injury,a right-sided pneumothorax,right rib fractures,a grade IV liver laceration,a pancreatic contusion,and a right acetabular fracture.The patient is still intubated and mechanically ventilated and has a chest tube,Foley catheter,and two abdominal drains.The patient's hemodynamic assessment reveals the following values: BP,94/66 mm Hg; HR,118 beats/min; T,38.7° C; CVP,5 cm H2O; wedge pressure,6 mm Hg; cardiac index,6.1; and systemic vascular resistance,450 dyns/sec.The patient is at the greatest risk to develop


A) respiratory failure.
B) infection.
C) venous thromboembolism
D) fat embolism syndrome.

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