Multiple Choice
The nurse is caring for a patient in cardiogenic shock experiencing chest pain.Hemodynamic values assessed by the nurse include a cardiac index (CI) of 2.5 L/min/m2,heart rate of 70 beats/min,and a systemic vascular resistance (SVR) of 2200 dynes/sec/cm-5.Upon review of physician orders,which order is most appropriate for the nurse to initiate?
A) Furosemide 20 mg intravenous (IV) every 4 hours as needed for CVP greater than or equal to ?20 mm Hg
B) Nitroglycerin infusion titrated at a rate of 5 to 10 mcg/min as needed for chest pain
C) Dobutamine infusion at a rate of 2 to 20 mcg/kg/min as needed for CI less than 2 L/min/m2
D) Dopamine infusion at a rate of 5 to 10 mcg/kg/min to maintain a systolic BP of at least 90 mm Hg
Correct Answer:
Verified
Correct Answer:
Verified
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