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Best of Five MCQs for the Acute Medicine SCE$
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Nigel Lane, Louise Powter, and Sam Patel

Print publication date: 2016

Print ISBN-13: 9780199680269

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780199680269.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 08 December 2021

Cardiorespiratory Arrest and Shock

Cardiorespiratory Arrest and Shock

(p.1) Chapter 1 Cardiorespiratory Arrest and Shock
Title Pages
Nigel Lane, Louise Powter, Sam Patel
Oxford University Press

A 74-year-old man suffered a cardiorespiratory arrest on a surgical ward four days after an elective sigmoid colectomy (with primary anastomosis) for cancer. His past medical history included hypertension and hypercholesterolaemia for which he took lisinopril, atenolol, and atorvastatin.

He had been seen by the surgical foundation year 1 doctor (in the UK) eight hours prior to his cardiorespiratory arrest after an episode of nausea and vomiting. On examination at that time his temperature was 38.0°C, pulse 105 beats per minute, blood pressure 95/40 mmHg, and respiratory rate 28 breaths per minute, with peripheral oxygen saturation of 94% on air. The doctor had noted abdominal tenderness, prescribed intravenous fluids, paracetamol and ondansetron, and performed peripheral blood cultures.

Keywords:   acute coronary syndrome, brainstem tests, cardiac arrest, elective craniotomy, generalized seizures, hyperlactemia, inspiratory stridor, massive haemorrhage protocols, occult hypovolaemia

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