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Clinical Problem Solving Exercise

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Immediate Post-Op Course<br />

• Lengthy but uneventful OR case, minimal<br />

blood loss<br />

• Within a few minutes of wound closure,<br />

she developed acute hypotension (SBP<br />

60s), HR fell to 40s. Unresponsive to fluids<br />

and phenylephrine<br />

• Sedation held, patient turned supine, given<br />

atropine and started on epi drip

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