What is meant by dissecting aortic aneurysm?
Aortic dissection is a tear in the aortic wall. If the blood enters from this tear inside the aortic wall, the wall will distend to produce an aneurismal dilatation. Q17:A 58-year-old female has undergone surgery for a necrotic bowel. Despite having been treated with antibiotics, on postoperative day 5, she develops symptoms (fever, hypotension, tachycardia, declining urine output, and confusion) consistent with septic shock. To manage her care, what hemodynamic support would be helpful? a-Fluid administration b-Dopamine infusion c-Antibiotic administration d-Fluids and dopamine A:In case of septic shock there is myocardial involvement so the patient is in need for cardiac support. Dopamine is preferred in this case since there impending renal failure (low urine output). The fluid loss should be corrected (this patient is feverish and so there is associated sweating; also he has had a major operation on the bowel i.e. fluid intake is possibly restricted. This fluid loss aggravates the
