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MED MISCCertified-in-NeuroCritical-Care-ABEM-(NCC)
- Exam (elaborations) • 14 pages • 2021
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Question: 710 
A 55-year-old man, admitted with a Hunt and Hess grade 4aneurysmal subarachnoid hemorrhage (SAH), is now 
post bleed day5 with increasing Transcranial Doppler (TCD) velocities. Meanarterial pressure (MAP) is 76 mmHg 
on norepinephrine 12mcg/min, up from 5 mcg/min 24 hours earlier, intracranial pressure(ICP) is 12 mmHg, and 
heart rate (HR) is 110/min with sinusvolume control mechanical ventilation receiving 7 mL/kg tidalvolume (TV) 
with positive end-expiratory pressure (PEEP) of ...
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