This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: After receiving 2 L of normal saline, the central venous pressure for a patient who has septic shock ... (Read 42 times)

@Brianna17

  • Hero Member
  • *****
  • Posts: 550
on: Jun 25, 2018
After receiving 2 L of normal saline, the central venous pressure for a patient who has septic shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. The nurse will anticipate an order for
 
  a. nitroglycerine (Tridil).
  b. norepinephrine (Levophed).
  c. sodium nitroprusside (Nipride).
  d. methylprednisolone (Solu-Medrol).

Question 2

To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
 
  a. Auscultate bowel sounds.
  b. Palpate for abdominal pain.
  c. Ask the patient about nausea.
  d. Check stools for occult blood.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

josephsuarez

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
When fluid resuscitation is unsuccessful, vasopressor drugs are administered to increase the systemic vascular resistance (SVR) and blood pressure, and improve tissue perfusion. Nitroglycerin would decrease the preload and further drop cardiac output and BP. Methylprednisolone (Solu-Medrol) is considered if blood pressure does not respond first to fluids and vasopressors. Nitroprusside is an arterial vasodilator and would further decrease SVR.

Answer to Question 2

ANS: D
Proton pump inhibitors are given to decrease the risk for stress ulcers in critically ill patients. The other assessments also will be done, but these will not help in determining the effectiveness of the pantoprazole administration.


@Brianna17

  • Member
  • Posts: 550
Reply 2 on: Jun 25, 2018
:D TYSM

amcvicar

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Three standard sizes of cuffs: a small cuff for a child or frail adult; a normal-sized adult cuff; ... Three standard sizes of cuffs: a small cuff for a child or frail adult; a normal-sized adult cuff; ...
Risk of Stroke and Heart Disease Increase with Increasing Blood Pressure Risk of Stroke and Heart Disease Increase with Increasing Blood Pressure
Thumb petrissage and direct fingertip pressure along iliac crest to muscle attachments. Thumb petrissage and direct fingertip pressure along iliac crest to muscle attachments.
Normal and abnormal corneal light reflection test Normal and abnormal corneal light reflection test
This image shows a normal third-trimester fetal brain This image shows a normal third-trimester fetal brain
Video: Nucleic acid digestion -small intestine

For a complete list of videos, visit our video library