{"id":138558,"date":"2024-09-15T09:49:16","date_gmt":"2024-09-15T09:49:16","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=138558"},"modified":"2024-09-15T09:49:18","modified_gmt":"2024-09-15T09:49:18","slug":"a-patient-with-sepsis-has-a-bp-of-70-46-mm-hg","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/15\/a-patient-with-sepsis-has-a-bp-of-70-46-mm-hg\/","title":{"rendered":"A patient with sepsis has a BP of 70\/46 mm Hg"},"content":{"rendered":"\n

A patient with sepsis has a BP of 70\/46 mm Hg, pulse of 136 beats\/min, respirations of 32 breaths\/min, temperature of 104\u00b0F, and blood glucose of 245 mg\/dL. Which intervention ordered by the health care provider should the nurse implement first?<\/p>\n\n\n\n

A.
Give 0.9% Sodium Chloride fluid bolus.<\/p>\n\n\n\n

B.
Give Pantoprazole (Protonix 40 mg IV push dally.<\/p>\n\n\n\n

C.
Give Acetaminophen (Tyler) 550 mg rectally.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct intervention to implement first is:<\/p>\n\n\n\n

A. Give 0.9% Sodium Chloride fluid bolus.<\/strong><\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

In the case of sepsis, the primary goal is to stabilize the patient’s hemodynamics and restore adequate perfusion to vital organs. The patient’s vital signs indicate severe sepsis, with hypotension (BP of 70\/46 mm Hg), tachycardia (pulse of 136 beats\/min), elevated temperature (104\u00b0F), and increased respiratory rate (32 breaths\/min). These signs suggest a significant compromise in circulatory function and potential septic shock, which requires immediate intervention.<\/p>\n\n\n\n

Fluid Resuscitation<\/strong>:<\/p>\n\n\n\n

    \n
  • Hypotension<\/strong> and tachycardia<\/strong> are indicative of reduced blood volume or poor cardiac output, often seen in septic shock. The immediate administration of a 0.9% Sodium Chloride (normal saline) fluid bolus is crucial to increase the intravascular volume, improve blood pressure, and enhance tissue perfusion.<\/li>\n\n\n\n
  • The recommended initial fluid resuscitation for septic shock involves administering a large volume of intravenous fluids. Normal saline is a commonly used isotonic solution for this purpose.<\/li>\n<\/ul>\n\n\n\n

    Other Interventions<\/strong>:<\/p>\n\n\n\n

      \n
    • B. Give Pantoprazole (Protonix) 40 mg IV push<\/strong>: Pantoprazole is a proton pump inhibitor used to reduce gastric acid secretion. While important for preventing stress ulcers in critically ill patients, it does not address the acute issue of hypotension and shock.<\/li>\n\n\n\n
    • C. Give Acetaminophen (Tylenol) 550 mg rectally<\/strong>: Acetaminophen can help manage fever and discomfort, but it does not address the critical issue of hypotension. Fever management is important, but it is secondary to stabilizing the patient’s hemodynamic status.<\/li>\n<\/ul>\n\n\n\n

      In summary, the priority in sepsis management is to stabilize the patient\u2019s blood pressure and restore circulatory volume. Therefore, administering a fluid bolus is the most urgent intervention to improve hemodynamic stability and prevent further complications.<\/p>\n","protected":false},"excerpt":{"rendered":"

      A patient with sepsis has a BP of 70\/46 mm Hg, pulse of 136 beats\/min, respirations of 32 breaths\/min, temperature of 104\u00b0F, and blood glucose of 245 mg\/dL. Which intervention ordered by the health care provider should the nurse implement first? A.Give 0.9% Sodium Chloride fluid bolus. B.Give Pantoprazole (Protonix 40 mg IV push dally. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138558","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138558"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138558\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}