ans this pl. - sara1500

[ArchivalUser]

A 29-year-old woman is involved in a motor vehicle accident that results in severe lacerations to her lower extremities, along with blunt abdominal trauma. In the emergency room she is noted to have cool, pallid skin. She has vital signs showing T 36.7 C, P 103/minute, R 18/minute, and BP 70/30 mm Hg. She has decreased urine output. Which of the following laboratory findings on a blood sample from this patient is most likely to be present?

A Hematocrit of 54%

B Glucose of 181 mg/dL

C PaO2 of 20 mm Hg

D Lactic acid of 4.8 mmol/L

E Troponin I of 4 ng/mL

[ArchivalUser]

hi
sara i think glucose should be raised due to increased secretion of stress hormone.plz tell me answer

[ArchivalUser]

i think hematocrit will go up....but not upto 54%...glucose should be less...becoz insulin level rises immediate following trauma....pa02 of 20 is not compatible with life.....considering the patient is in shocke.....lactic acidosis is definite possibility....there is nothing to suggest cardiac involvement....and troponin rises after 12 hrs...so dddddddddddddddd

[ArchivalUser]

A Hematocrit of 54%

[ArchivalUser]

jamesvu is right.The ans is D.

[ArchivalUser]

d

[ArchivalUser]

i also go with dddddddddd

[ArchivalUser]

certainly DDD the Pt is Hypotensive, decr Urine Output, organs not receiving enough blood

[ArchivalUser]

hey...sara1500 ,
can you post the ans pl??
thanx in advance.