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OCR: Clinical signs of hypope rfusion congestive heart failure acute pulmonary ece Assess ABCs Assess vital signs Secure airway Review history Administer oxygen Perform phys ical examination Obtain IV access Order 12 -lead ECG Attach monitor, pulse oximeter Order portable chest x-ray and automatic blood pressure cuff What is the nature of the problem? Volume problem Pump problem Rate problem Includes vasculal resistance problems Administer Blood Fluids transfusions is See Too slow See Too fast What the blood pressure BP)?a Cause- specific interventions igure Figure 6 Consider vasopressors if indicated Systolic BP Systolic BP Systolic BP Systolic Bp Less than 70 mm Hg 70 to 100 mm Hg b 70 to 100 mm Hg Greater than 100 mm Ha Signs and symptoms shock Signs and sympbms of shock No sians and symptom ...