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bookster bookster
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A month ago
A patient has hypovolemic shock as a result of massive gastrointestinal bleeding. The patient is given fluids and vasopressors. Which outcome indicates to the nurse that these treatments are having the desired effect?
1. Base deficit is 6 mmol.
2. Lactate levels are decreasing from admission levels.
3. Urine output is normal.
4. Blood pressure is now 90/60 mm Hg.
Textbook 

High-Acuity Nursing


Edition: 6th
Authors:
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linhhhlinhhh
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A month ago
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More questions for this book are available here
The answer is 2
Rationales:
1. A base deficit of 6 mmol indicates that moderate shock is persisting.
2. Serum lactate levels can be used as an indirect measure of impaired oxygen delivery and indicate the degree of hypoperfusion. Decreasing lactate levels indicate that tissue perfusion and oxygenation are improving.
3. Using urine output as a marker of resuscitation may provide a false sense of security because the urine output may be related to neuroendocrine response.
4. Shock can persist despite "normalization" of blood pressure. This BP may be normal for one patient and hypotensive for another.
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bookster Author
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A month ago
You make an excellent tutor!
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I appreciate what you did here, answered it right Smiling Face with Open Mouth
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Helped a lot
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