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Vasopresor and Inotrope

Case Studies
Scenario 1

• 50F
• Community acquired right upper lobe pneumonia
• HR 140
• ABP 75/30
• Oliguric
• Temp 38.7
• Warm to the touch with bounding pulse
Scenario 2

• 62M
• Presents to ED after being stung by a wasp
• Widespread rash
• Hypotensive
• Tachycardic
• Dyspnoeic
• Widespread wheeze on auscultation
Scenario 3

• 70M
• Presents with acute myocardial infarction
• Received immediate conservative treatment
• Has become tachycardic, hypotensive
• Peripherally cold
• Oliguric
Scenario 4

• Elderly patient on medical ward


• Hypotensive, bradycardic and confused
• ECG shows complete heart block with ST depression in the inferior
leads.
Scenario 5

• 23F
• Presents to ED
• Hypotensive
• Bradycardic
• Says she has taken an overdose of her father’s atenolol
Scenario 6

• 22M
• Involved in a RTC 12hrs ago
• Was stable on presentation but complained of LUQ pain
• Admitted to surgical ward for observation
• Heart rate now 105bpm, blood pressure 125/92, cool hands and feet
and is extremely anxious

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