Chest and Abdominal Trauma Practice Test

You are treating a patient with a gunshot wound to the abdomen who is hypotensive (BP 82/48 mmHg). You have established a large-bore IV. Medical direction has ordered fluid resuscitation.

A 78-year-old female on beta-blockers fell and has a contusion over her right upper abdominal quadrant. Her BP is 110/80 mmHg, HR is 70, and RR is 20. She denies significant pain but appears anxious and has pale, cool skin.