The nurse is caring for a client with septic shock who has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 40°C (104°F), and blood glucose 13.7 mmol/L. Which of the following prescribed interventions will the nurse implement first?
A)Give normal saline IV at 500 mL/hour.
B)Infuse Drotrecogin-? 24 mcg/kg.
C)Start insulin drip to maintain blood glucose at 11-15 mmol/L.
D)Titrate norepinephrine to keep mean arterial pressure (MAP) at 65-70 mm Hg.

Question

Quizplus · Accepted Answer

Because of the low systemic vascular resistance (SVR) associated with septic shock, fluid resuscitation is the initial therapy. The other actions also are appropriate and should be initiated quickly as well.

The Nurse Is Caring for a Client with Septic Shock