TEMI Adulto (AMIB AMB) Practice Questions - TEMI - Título De Especialista Em Medicina Intensiva - Área Adulto (AMIB AMB) Exam

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A patient with septic shock has a Mean Arterial Pressure (MAP) of 68 mmHg on norepinephrine, Central Venous Oxygen Saturation (ScvO2) of 74%, but arterial blood lactate continues to rise (4.8 mmol/L). Venous-to-arterial carbon dioxide difference (Pv-aCO2 / PCO2 gap) is calculated at 9 mmHg (normal

Systemic tissue hypoperfusion and microvascular stagnation despite macrohemodynamic pressure targets. Adequate global cardiac output with primary cellular cytopathic dysoxia. Hyperventilation-induced respiratory alkalosis with tissue hyperperfusion. Severe arterial hypoxemia resulting in decreased CO2 clearance.

Correct Answer:

Systemic tissue hypoperfusion and microvascular stagnation despite macrohemodynamic pressure targets.

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