A 78 year old male with shock secondary to MRSA bacteremia p…
A 78 year old male with shock secondary to MRSA bacteremia presents to the ICU from the ER with anaphylactic shock. He comes to the ICU on the maximum dose of a Levophed gtt, but his MAP is 49 mmHg (goal MAP 65-75 mmHg). His hemodynamics are the following: CI 3.2, SVI 57, SVRI 1320, and SVV 7. Based on the information provided, what should be the next intervention? Parameter Normal Range Cardiac Index 2.5-4.2 Stroke volume index 30-65 ml/beat/m2 Systemic vascular resistance index 1680-2580 dynes/sec/cm-5/m2 Stroke volume variation