Despite fluid resuscitation with 3L LR bolus (30ml/kg IBW over 1hr), the patient remains hypotensive (BP 80/50mmHg, MAP 60). The patient is initiated on a norepinephrine infusion with goal SBP > 90/ MAP > 65, and preparations are made for admission to ICU and placement of central line. 1.) What are important nursing implications for the care of the patient receiving an intravenous fluid bolus? 2.) Please discuss nursing implications for the care of patients receiving vasopressor medications in the ICU.
[Answered]: Despite fluid resuscitation with 3L LR bolus…
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