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A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. his blood pressure is initially 80/40 mm hg. after initial fluid resuscitation his blood pressure increases to 122/84 mm hg. his heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. a tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. after chest tube insertion, the most appropriate next step is:

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The most appropriate next step for this process is to re-examine the chest.

Tachycardia is termed as a heart rate that exceeds normal resting rate. In adults over 100 beats per minute is being expected to a tachycardia adult.
The normal resting rate for a person depends on age. When there are excess heartbeats, then the heart pumps less efficient and provides less blood flow to the rest of body.
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