Correct!
4. 1 and 3

It is unclear what is the cause of her hypotension. Although placing a pulmonary artery catheter is not necessarily wrong, point of contact ultrasound can often reveal the source of hypotension in the ICU (2). The patient had hyperdynamic underfilled ventricles and a collapsible IVC.  While providing ongoing aggressive volume resuscitation plus escalating vasoactive support and the patient's hemoglobin returned which was 4 gm/dL.

Which of the following should be done at this time? (Click on the correct answer to proceed to the sixth of seven pages)

1. Abdominal CT scan
2. Thoracic CT scan with pulmonary embolism protocol
3. Transfuse with packed red blood cells
4. 1 and 3
5. All of the above

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