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Review Question - QID 213896

Anesthesiology Medications Anethesiology Drug Table Inhaled Agents Name Mechanism of Action  Key Indication  Key Toxicity General Anesthetics Halothane Cortical, myocardial, respiratory depression Inhaled anesthetic Hepatotoxicity Malignant hyperthermia  Enflurane Proconvulsan QID: 213896 (M2.OMB.20.41)
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QID 213896 (Type "213896" in App Search)
A 33-year-old man is brought to the emergency department after he was found minimally responsive at a homeless shelter. The patient has a history of IV drug use and malingering. He is unable to offer a history as he is obtunded. His temperature is 96.6°F (35.9°C), blood pressure is 84/44 mmHg, pulse is 150/min, respirations are 17/min, and oxygen saturation is 98% on room air. The patient’s vitals are unchanged after 3 liters of fluids. Physical exam is notable for multiple antecubital fossa abscesses and a murmur on cardiac auscultation. The patient’s Glasgow Coma Scale is 6, and he is subsequently given an induction agent and a paralytic and is intubated. His blood pressure declines over the next 15 minutes until stress dose steroids are started which rapidly correct his blood pressure. Which of the following is the most likely etiology of this patient’s hypotension following intubation?
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