Correct!
5. All of the above
The patient was diagnosed with left-sided pneumonia and septic shock and acute kidney injury, and all of the measures were undertaken.
On post-operative day 4 (Figure 7), echocardiography showed normal left ventricular systolic function (ejection fraction= 64%) on dobutamine, with a baseline echocardiogram performed 7 months earlier showing moderate systolic dysfunction (ejection fraction= 35%).
Figure 7. Frontal chest radiography postoperative day 4 following left upper lobe resection shows continued left lung consolidation again with a prominent linear component suggesting interlobular septal thickening. Trace left subcutaneous emphysema is present. A small left pleural effusion cannot be excluded, possibly with some pleural liquid over the left apex laterally, but a large pleural effusion is not seen and no right pleural liquid is evident.
The patient maintained his blood pressure on a combination of vasopressin and dobutamine.
Which of the following represents an appropriate next step(s) for the patient’s management? (Click on the correct answer to be directed to the tenth of fourteen pages)