The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select all that apply.

Question

Quizplus · Accepted Answer

Signs of acute organ dysfunction in the cardiovascular system include systolic blood pressure $<90 \mathrm{~mm}$ $\mathrm{Hg}$ or mean arterial pressure (MAP) $<65 \mathrm{~mm} \mathrm{Hg}$, drop in systolic blood pressure $>40 \mathrm{~mm} \mathrm{Hg}$ from baselines or serum lactate $>4 \mathrm{mmol} / \mathrm{L}$. An exaggerated response to vasoactive medications and an adequate response to fluid resuscitation would not be noted.

The Intensive Care Nurse Is Responsible for the Care of a Patient