Correct!
4. 1 and 3
The cause of his hypotension is unclear. Crytalloids can be given while investigating the cause of his hypotension. His troponins are only mildly elevated which is consistent with the cardiac injury that occurs after CABG. tPA would have a high bleeding risk given his relatively recent operation and there is no indication for its administration. Bedside echocardiography is often useful in identifying causes of hypotension in the ICU and was performed (Figure 1) (1).
Figure 1. Videos of subxiphoid views from the echocardiogram.
Which of the following is appropriate at this time? (Click on the correct answer to proceed to the fourth and final panel)