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?

4. *******PLEASE INCLUDE SOURCES************

** speaking about hypertension/HYPOtension medication**

Answer 1

Hypotension

It is nothing but the condition of low blood pressure in our body.

The patient’s blood pressure is 76/40 with a heart rate of 100 beats/min.What pharmacological treatment will the nurse expect to administer first?

Fludrocortisone will be the first choice of drugs since it helps to activate receptors on the veins and arteries to increase the blood pressure.

What assessment findings would indicate that the treatment is effective?

• It evident that her BP is 76/40 which is remarkably a low reading.
• She's also having septic shock that can even have an impact on low blood pressure

Assessment

1. Checking blood pressure frequently helps to identify if the condition is improved
2. Check her extremities
3. Check the heart rate

The patient's blood pressure has increased to 78/50. What medication does the nurse anticipate to be ordered now?

Midodrine .

What assessment findings would indicate that the treatment is effective?

Nursing care planning goals for hypotension includes, administration of salty food in diet .

Encourage the patient to drink more water .