Answers will vary. Sample answer: Blood pressure is dropping, CVP is increasing, and indices are going down, indicating worsening heart failure and possible cardiogenic shock.

Answers will vary but may include listen to heart sounds and monitor for perfusion by looking at capillary refill, pulses, and so forth.

Answers will vary. Sample answer: Adjust the dose of dobutamine to improve BP. Initiate another medication if needed. Have provider assess patient to determine the need for other interventions.

Answers will vary but may include MODS and cardiogenic shock.