what will be the answer for this case study of mods and sirs

1. Clinical application • A man 38 years old,well-nourished , • who sustained abdominal injuries and a live laceration that required surgical intervention(exploratory laparotomy,repair of liver laceration,splenectomy) • past history:No chronic health problems. • Signs and symptoms: during the immediate postoperative period(days 1 and 2),he was extubated.His oriented and hemodynamically stable.He required low-flow nasal oxygen to maintain a PaO2 of 75mmHg.He was tachycardic(100bpm) and mildly tachypneic ,and core temperature was 37âÂ?Â?,abdomen was distended,with absent bowel sounds. • A nasogastric tube was draining small amounts of darkgreen drainge.His surgical wound was well approximated,with no redness or drainage.
2. • Lab data revealed normochromic normocytic anemia,leukocytosis count(13000/mm3),and an elevated serum lactate level.ABG values indicated a primary respiratory alkalosis and metabolic acidosis. 1.You suspect he is experiencing systemic inflammatory response syndrome(SIRS).What signs and symptoms are evident to support your suspicions? 2.What are your priorities for him at this time?
3. • On days 6 and 7 he remained intubated and required 100% O2 to maintain a PaO2 70mmHg. Core temperature was 38.4âÂ?Â? and WBC count 18000/mm3 with a shift to the left.However,blood, urine,and wound cultures were negative.Serum creatinine and blood urea nitrogen levels were approaching the need for hemodialysis.Hepatic function was altered as evidenced by elevated serum bilirubin,AST,ALT,and LDH;clinical jaundice was evident.Cardiovascular function was dependent on vasoactive drugs to maintain a subnormal cardiac output.
4. • 4.which of his organs are failing?list the signs and symptoms to support you answer • 5.what treatments should you anticipate being initiated to support his failing organs