You are called to see a patient in the intensive - denwalk

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You are called to see a patient in the intensive care unit who was admitted with pneumonia and intubated for hypoxemia and acidosis. You learn that he is a 57-year-old man with severe asthma for which he was being treated with chronic steroids along with multiple inhalers. He has no other medical problems. Currently his temperature is 39 C (102 F), blood pressure is 75/40 mm Hg, pulse is 140/min, and respirations are 17/min. His physical examination is significant for bilateral wheezes with decreased breath sound at the right base. Despite aggressive hydration with normal saline, his blood pressure remains low. You suspect he is septic. You decide to place a Swan Ganz catheter to clarify his volume status and better understand his hemodynamic picture. The most likely finding to support your suspicion that he is septic would be
CI SVR PAWP
A. Decreased Increased Normal
B. Decreased Increased Decreased
C. Increased Decreased Normal
D. Decreased Normal Normal
E. Increased Increased Decreased
Explanation: see below

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Explanation
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