2nd August 2023

You are working as an F2 in an oncology ITU. A 67 year old man has been electively admitted to ITU following a hemi-colectomy

You are working as an F2 in an oncology ITU. A 67 year old man has been electively admitted to ITU following a hemi-colectomy for a colon tumour. He has no significant medical history. The anaesthetist hands over that he had an estimated blood loss of around 1.8L during his operation, however, it was otherwise uneventful.

On reviewing the patient on admission to the unit, you note that he is cool peripherally with a BP of 95/50, HR 115 and regular, oxygen saturation 95% on 1L NC.

You note that he has already received 4L crystalloid for volume replacement. He has no formal post op bloods, but his VBG on admission to ITU shows a Hb drop from 120 to 95.

Which of the following is the most appropriate treatment to help improve his BP in this instance?

Select the SINGLE most appropriate option from the list below. Select ONE option only.