Case Study #3

A 65 year old male patient underwent radical retropubic prostatectomy for cancer. He has a history of MI 8 months ago with an EF of 25%. He is in the CCU postoperatively for closer monitoring.

Vital Signs/Assessment:

BP = 90/58

HR = 110

CVP = 8

Urine Output = 10 ml/hr

Condition & Treatment

• Low cardiac output

• Tachycardia (compensatory for low CO)

• Urine output low

• Low blood pressure

• May need vasopressor agent

• CVP

• Fluid status adequate

• cautionary use of fluid: small volume bolus may be helpful (Starling's law)

 

toc | return to top | previous page | next page