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(Solved): A 55-year male was admitted to the general surgical unit after surgery for a bowel obstruction. The ...



A 55-year male was admitted to the general surgical unit after surgery for a bowel obstruction. The surgical procedure involved extensive abdominal surgery to repair a perforated colon. During surgery his systolic blood pressure dropped to 70mmHG. Six units of packed red blood cells and 3 L of normal saline were administered intravenously to restore blood loss and circulating volume. Currently he is receiving 60% oxygen though an aerosol face mask. Vitals sign are as follows: RR: 28bpm HR: 120 bpm Temp: 39C BS: bilateral fine basilar crackles The most recent chest x-rays show bilateral infiltrates. ABG results: Ph= 7.35 PaO2=50 mmHG PaCO2=27 HCO3=16 SaO2= 84% What condition most likely led to the development of ARDS in this patient?



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