A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic.

In: Nursing

A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic…

 

 

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?
  4. *******PLEASE INCLUDE SOURCES************
** speaking about hypertension/HYPOtension medication**

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