A Patient with Septic Shock Has a BP of 70/46

question 2

Multiple Choice

A patient with septic shock has a BP of 70/46 mm Hg,pulse of 136 beats/min,respirations of 32 breaths/min,temperature of 104°F,and blood glucose of 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?

• A)Give normal saline IV at 500 mL/hr.
• B)Give acetaminophen (Tylenol) 650 mg rectally.
• C)Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
• D)Start norepinephrine to keep systolic blood pressure above 90 mm Hg.

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Definitions:

Capillary Endothelium

The thin layer of endothelial cells that line the interior surface of capillaries, facilitating the exchange of gases, nutrients, and wastes between the blood and tissue cells.

Basement Membrane

Specialized extracellular material located at the base of epithelial cells and separating them from the underlying connective tissues.

Bowman Capsule

A cup-like sac at the beginning of the tubular component of a nephron in the kidney, playing a crucial role in the filtration of blood to form urine.

Filtration Slits

are gaps between the podocyte processes in the kidneys through which blood filtration occurs.