Author Question: Nursing management of a patient with a clipped cerebral aneurysm receiving hypertensive hypervolemic ... (Read 33 times)

abarnes · **on:** Jun 25, 2018

Nursing management of a patient with a clipped cerebral aneurysm receiving hypertensive hypervolemic hemodilution therapy includes

a. administering osmotic diuretics and vasodilator agents.
b. providing the patient with a quiet environment.
c. maintaining the patient's systolic blood pressure at 150 to 160 mm Hg.
d. keeping the patient's central venous pressure at 5 to 8 mm Hg.

Question 2

Medical management of patient with status asthmaticus that supports oxygenation and ventilation include (Select all that apply.)

a. oxygen therapy.
b. bronchodilators.
c. corticosteroids.
d. antibiotics.
e. intubation and mechanical ventilation.

softEldritch · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
Hypertensive hypervolemic hemodilution therapy involves increasing the patient's blood pressure and cardiac output with vasoactive medications and diluting the patient's blood with fluid and volume expanders. Systolic blood pressure is maintained between 150 and 160 mm Hg. The increase in volume and pressure forces blood through the vasospastic area at higher pressures.

Answer to Question 2

A, B, C, E
Medical management of a patient with status asthmaticus is directed toward supporting oxygenation and ventilation. Bronchodilators, corticosteroids, oxygen therapy, and intubation and mechanical ventilation are the mainstays of therapy.