The patient has been admitted to the hospital with nausea and vomiting that started 5 days earlier.Blood pressure is 80/44 mm Hg and heart rate is 122 beats/min; the patient has not voided in 8 hours,and the bladder is not distended.The nurse anticipates a prescription for "stat" administration of

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This scenario indicates hypovolemia from the nausea and vomiting,requiring volume replacement.Hypovolemia resulting from large urine or gastrointestinal losses often requires the administration of a hypotonic solution,such as 0.45% saline.Blood products would be indicated only in the presence of bleeding following assessment of hemoglobin and hematocrit levels.The inotrope is contraindicated in the presence of volume depletion.An antiemetic may be needed; however,the priority to prevent shock and acute kidney injury is fluid administration.

The Patient Has Been Admitted to the Hospital with Nausea