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You have diagnosed severe lower leg cellulitis in an elderly, beta-blocked woman. Her observations are P 110, BP 90/42, RR 20, sats 100% on high-flow O2. She has a lactate of 3 after 1500 ml of carefully titrated fluids. You have started an IV penicillin via infusion. You are anticipating initiating early goal directed therapy when you note a sudden deterioration: P 120 sinus tachycardia, BP 50/-. You are able to palpate a femoral pulse and a note a developing urticarial rash.
List five key management actions to perform in the next minute.
Despite having performed the key actions—see case summary below—you've got the fluid challenge running quickly with the pressure bag, you note a clear deterioration. She is unresponsive and you cannot now feel a femoral pulse.
Key management actions |
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You have diagnosed severe lower leg cellulitis in an elderly, beta-blocked woman. Her observations are P 110, BP 90/42, RR 20, sats 100% on high-flow O2. She has a lactate of 3 after 1500 ml of carefully titrated fluids. You have started an IV penicillin via infusion. You are anticipating initiating early goal directed therapy when you note a sudden deterioration: P 120 sinus tachycardia, BP 50/-. You are able to palpate a femoral pulse and a note a developing urticarial rash.
List two further key actions in the space below.