A patient is admitted to the hospital with multiple trauma and extensive blood loss.The nurse assesses vital signs to be BP 80/50 mm Hg,heart rate 135 beats/min,respirations 36 breaths/min,cardiac output (CO)of 2 L/min,systemic vascular resistance of 3000 dynes/sec/cm??,and a hematocrit of 20%.The nurse anticipates administration of which the following therapies or medications?
A) Blood transfusion
B) Furosemide (Lasix)
C) Dobutamine (Dobutrex) infusion
D) Dopamine hydrochloride (Dopamine) infusion

Question

Quizplus · Accepted Answer

Both hemodynamic parameters and the reported hematocrit value indicate hypovolemia and blood loss requiring volume resuscitation with blood products.Furosemide administration will worsen fluid volume status.Inotropic agents will not correct the underlying fluid volume deficit and anemia.Vasoconstrictors are contraindicated in a volume-depleted state.

A Patient Is Admitted to the Hospital with Multiple Trauma