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koala423 koala423
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6 years ago
A patient with pancreatic cancer is admitted for portal hypertension in which he is symptomatic with ascites.
 
  Following paracentesis and removal of 7.5 L of ascitic fluid, the nurse should anticipate that the physician will order which of the following medications to assist in maintaining an effective circulating fluid volume?
  A)
  Bumetanide (Bumex)
  B)
  Furosemide (Lasix)
  C)
  Albumin (human) 5
  D)
  Epogen (epoetin alfa)
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#1
6 years ago
Ans:
C

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Complications of portal hypertension include ascites, splenomegaly, and hepatic encephalopathy. Following paracentesis, to remove ascitic fluid, a volume expander such as albumin is usually administered to maintain the effective circulating volume. Lasix and Bumex are diuretics that decrease circulating fluid volume. Epogen stimulates red blood cell production and ultimately increases O2-carrying capacity.
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