A patient with esophageal varices is being cared for in the ICU. The varices have begun to bleed and the patient is at risk for hypovolemia. The patient has Ringers lactate at $150 \mathrm{cc} / \mathrm{hr}$ infusing. What else might the nurse expect to have ordered to maintain volume for this patient?

Question

Quizplus · Accepted Answer

Because patients with bleeding esophageal varices have intravascular volume depletion and are subject to electrolyte imbalance, IV fluids with electrolytes and volume expanders are provided to restore fluid volume and replace electrolytes. Diuretics would reduce vascular volume. An arterial line and Foley catheter are likely to be ordered, but neither actively maintains the patients volume.

A Patient with Esophageal Varices Is Being Cared for in the ICU