Question

A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic shock. She is confused. Her extremities are cool to touch. A central line catheter is inserted. The patient’s blood pressure is 76/40 with a heart rate of 100 beats/min.

1. What pharmacological treatment will the nurse expect to administer first? What assessment findings would indicate that the treatment is effective?
2. The patient's blood pressure has increased to 78/50. What medication does the nurse anticipate to be ordered now? What assessment findings would indicate that the treatment is effective?
3. Three hours later, the patient's blood pressure is 76/50 with a heart rate of 88 beats/min. The patient has now had the diagnosis of myocardial infarction confirmed. The nurse receives an order to start a dopamine infusion at 12 mcg/kg/min. Why was this medication added? What are the adverse effects of this medication?

Answer 1

. pharmacologa al treatment that the nurse will administer first is vasopressors i the drug to Increase Blood pressure : naroprocessor are the dreg of choice in sepsis. patients with hypotension. these dregs Causes na nowing of blood ressels , There by increasing the mean arterial pressure and the stabilising the blood pressure. g As per the doctors Order, the prescribed Vaso presser will be given to the patient in fusion / boles from Common Vasopressure used in Intensive Gre Unit are lore gine phrine, epinephrine, vaso precon i Dopamine Dobutamine ,et there after ; antibiotice has to be started - to test sepsis 4 pneumonia. the Assessment of findings that will Indicate that The treatment is effectue (ore) as follows o - Increase in mean Arterial Hood pressure o regular heart beat and stable vital CS Scanned with CamScalans.

5 warm extremilies since the blood prescere is Stabilized. the good flow of criculation among the extemilies will be restored. patient klill be concines to time place and person. > Scanned with CamScanner