Question

Ongoing assessment of Mrs. Wilson is important. Which of the following evaluation criteria would indicate a positive, successful outcome to fluid resuscitation?

Select all that apply (there are 4 correct answers).

• Urine output of 100 mL per hour
• Active bowel sounds
• Pulmonary artery occlusion pressure (PAOP/PCWP) greater than 18 mm Hg (earlier reading 5 mm Hg)
• Cardiac output (CO) of 5 L/minute (earlier reading 3 L/minute)
• Right atrial pressure (RAP) of 6 mm Hg (earlier reading 1 mm Hg)
• Cool, diaphoretic skin
• Serum osmolality of 300 mOsm/kg H2O (earlier value 365 mOsm/kg H2O)

Answer 1

evaluation criteria for a successful outcome to fluid resuscitation.

1. Urine output of 100 mL per hour (Urine output is more than enough its indicate a good body fluid level)

2. Pulmonary artery occlusion pressure (PAOP/PCWP) greater than 18 mm Hg (earlier reading 5 mm Hg) (Very low Pulmonary artery occlusion pressure indicates hypovolemia but its now in the normal range which indicates successful resuscitation)

3. Cardiac output (CO) of 5 L/minute (earlier reading 3 L/minute) (Increase in the cardiac output to normal level indicates successful resuscitation)

4. Right atrial pressure (RAP) of 6 mm Hg (earlier reading 1 mm Hg)