[Solved]: external controller 4 You are treating a VAD…

external controller 4 You are treating a VAD patient with suspected GI bleeding. He is pale and diaphoretic, with pale mucous membranes and an etCO2 of 24 mmity. somewhat lethargic, and answers “Yes” or “No” questions only with difficulty. His medications are warfarin and digaxin, and the cardiac monitor reveals atrial fibrillation at 128 bpm . You have managed to obtain a mean arterial pressure of roughly 50 mmillg by using your NIBP machine. Auscultation of the chest reveals that his VAD is running, although the external controller shows a “LOW FLOW” alarm. Atter consultation with the Coordinator at the hospital, you establish vascular access and adminutec, per her instructions, boluses of normal saline at 250 ml , titrated to a MA 65 mmHg . In this patient, what is your greatest concern with this trifyent plan? Re-bleeding Hyperchloremic acidosis Coagulopathy Fluid overload due to his weakened heart