Critical Care Patient

Marcus Holloway

Critical

Bed ICU-01 Dr. Naomi Adeyemi NEWS2 17 Day 2 in ICU

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Heart Rate

122 bpm

Tachycardic

Blood Pressure

88/54

On noradrenaline

SpO2

91%

Ventilated · FiO2 60%

SOFA Score

High severity

ICU Care Timeline

Admitted from OR 3 post-splenectomy

15 Jul, 11:40 AM

Noradrenaline started, MAP target 65

15 Jul, 2:20 PM

Failed sedation hold — agitated, resedated

16 Jul, 8:00 AM

Repeat CT abdomen ordered

17 Jul, 9:10 AM

Case Information

PatientMarcus Holloway · 58 / Male

BedICU-01

DiagnosisPost-op haemorrhagic shock, splenectomy

IntensivistDr. Naomi Adeyemi

VentilationPRVC · FiO2 60% · PEEP 10

Organ SupportVentilator, Vasopressors, Sedation

RASS-4 (Deeply sedated)

AdmittedFrom OR 3 · 11:40 AM, 15 Jul

Active Infusions

Noradrenaline0.28 mcg/kg/min

Propofol180 mg/hr

Fentanyl120 mcg/hr

Intensivist Notes

Remains vasopressor-dependent 36 hours post-splenectomy. Lactate not clearing (4.1 mmol/L). Repeat CT abdomen ordered to exclude ongoing bleeding. Continue lung-protective ventilation and daily sedation review.

— Dr. Naomi Adeyemi, Intensivist · 09:10 AM

Intensivist

Dr. Naomi Adeyemi

Critical Care Medicine

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Lines & Tubes

Right IJ central lineDay 2

Left radial arterial lineDay 2

Endotracheal tube 8.0Day 2

Urinary catheterDay 2

Latest Labs

Lactate4.1 mmol/L High

Hemoglobin7.8 g/dL Low

Creatinine1.9 mg/dL High

Platelets88 K/µL Low

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