After receiving 2 L of normal saline, the central venous pressure ...

[@Brianna17]

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.

[josephsuarez]

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]

Gracias!

[ryansturges]

TYSM