HY USMLE Q #928 – Cardiovascular

A 71-year-old woman is admitted to hospital following a fall. She undergoes replacement of her right hip. 24 hours after surgery, temperature is 100F, HR 110, RR 20, BP 80/50. Cardiac output index is 3L/min (NR 5-6). Pulmonary capillary wedge pressure is 14 mmHg (NR 4-12). Her limbs are slightly pink and warm to touch. Which of the following is the most likely explanation for this patient’s hypotension?

  Cytokine effect
  Decreased systemic vascular resistance
  Embolic phenomenon
  Extravasation into the pelvis
  Myocardial infarction