A accommodating who is 48 hours post–mitral valve backup anaplasty has become progressively added hypotensive, tachycardic, tachypneic, and active over the accomplished several hours. You doubtable that the accommodating is activity into shock.
a. Since this accommodating is at aerial accident for both cardiogenic and catchbasin shock, how would you go about free what blazon of shock (if any) is present? Support your approach.
b. What appropriate challenges are associated with aggravating to amusement catchbasin shock in a accommodating with cardiovascular disease?