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A patient with cardiogenic shock has a blood pressure of 70/38. In addition, the patient is experiencing dyspnea with a respiratory rate of 32 breaths per minute and has an oxygen saturation of 82% on room air. On auscultation, you note crackles throughout the lung fields. You notify the physician. What order below would you ask for an order clarification?Question 4Select one:a.Furosemide IV statb.Normal saline IV bolus statc.Place patient on CPAP (continuous positive airway pressure)d.Dopamine IV stat

Question

A patient with cardiogenic shock has a blood pressure of 70/38. In addition, the patient is experiencing dyspnea with a respiratory rate of 32 breaths per minute and has an oxygen saturation of 82% on room air. On auscultation, you note crackles throughout the lung fields. You notify the physician. What order below would you ask for an order clarification?Question 4Select one:a.Furosemide IV statb.Normal saline IV bolus statc.Place patient on CPAP (continuous positive airway pressure)d.Dopamine IV stat

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Solution

Based on the given scenario, the patient is presenting with cardiogenic shock, which is a serious condition that requires immediate medical attention. The patient's blood pressure of 70/38 indicates hypotension, and the presence of dyspnea, crackles in the lung fields, and low oxygen saturation further suggests respiratory distress.

In order to clarify the physician's order, it is important to prioritize interventions that address the patient's immediate needs. Therefore, the most appropriate order to ask for clarification would be option b: Normal saline IV bolus stat. Administering a bolus of normal saline can help increase the patient's blood volume and improve their blood pressure, which is crucial in managing cardiogenic shock.

While options a, c, and d may also be relevant in the management of the patient's condition, they do not address the immediate need to stabilize the patient's blood pressure. Furosemide IV stat (option a) is a diuretic that can help reduce fluid overload, but it may not be the most urgent intervention in this case. Placing the patient on CPAP (option c) can provide respiratory support, but it does not directly address the patient's hypotension. Dopamine IV stat (option d) is a medication that can increase blood pressure, but it should be used cautiously and may not be the first-line intervention in this situation.

Therefore, it is important to seek clarification on the order for a Normal saline IV bolus stat to address the patient's hypotension and stabilize their condition.

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