A 63-year-old woman with chronic myelocytic leukemia had been taking hydroxyurea (Hydrea, Mylocel) as daily chemotherapy to control her white blood cell (WBC) count levels. use volume infusion with 500 cc of normal salineĢ.disconnect endotracheal tube from respirator and facilitate prolonged exhalation.insert bilateral chest thoracostomy tubes.administer 10 cc intravenous (IV) calcium chloride 10%.Although the resuscitation initially goes well, within several minutes his blood pressure (BP) drops to 70/40 mm Hg, and his pulse rate increases to 156 beats per minute (bpm). A 27-year-old man with severe asthma requires endotracheal intubation in the emergency department after rapid sequence induction with ketamine HCl (Ketalar) and succinylcholine chloride (Anectine, Quelicin). O'Brien, MD, Assistant Residency Director, Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, Fla Associate Clinical Professor, University of Florida School of Medicine, Gainesville, Flaġ.
