What is your next course of action for mr. hook


Problem: Mr. hook is a 74 year old male that is 3 days post open heart surgery. He weighs 71 kilograms. He still has a swan Ganz catheter in place. He has been hemodynamically unstable post op on multiple vasopressors, including dopamine and levophed. Some signs of improvement have been seen. It is 1900 and you begin your shift assessment on Mr. hook. You note the following abdomen is firm, distended with absent bowel sounds. Tube feeding infusing by a post pyloric at 40 milliliters per hour period OG tube in place with green brown color, 300 milliliters over the past three hours. What is your next course of action for Mr. hook?

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