First one with correct answer with justification win.

 

[size=20px]Upon emergence from general anesthesia after percutaneous placement of a left internal jugular dialysis catheter, a patient is noted to be hypotensive with a blood pressure of 70/50 and increased central venous pressure. Breath sounds are equal bilaterally but jugular veins are distended with muffled heart tones. The next best step in management of this patient with hypotension is

 

A fluid resuscitation.

 

B vasopressors.

 

C pericardiocentesis.

 

D echocardiography.

 

E tube thoracostomy.[/size]

C pericardiocentesis.

C pericardiocentesis.

correct

 

This is a case of Cardiac tamponade secondary to cardiac perforation during insertion of dialysis catheter