A patient is admitted after collapsing at the end of a summer marathon.She is lethargic,with a heart rate of 110 beats/min,respiratory rate of 30 breaths/min,and a blood pressure of 78/46 mm Hg.The nurse anticipates administering which therapeutic intervention?
A) Human albumin infusion
B) Hypotonic saline solution
C) Lactated Ringer's bolus
D) Packed red blood cells

Question

Quizplus · Accepted Answer

The patient is experiencing symptoms of hypovolemic shock.Isotonic crystalloids,such as normal saline and lactated Ringer's solutions,are the priority intervention.Albumin and plasma protein fraction (Plasmanate)are naturally occurring colloid solutions that are infused when the volume loss is caused by a loss of plasma rather than blood,such as in burns,peritonitis,and bowel obstruction.Hypotonic solutions rapidly leave the intravascular space,causing interstitial and intracellular edema and are not used for fluid resuscitation.There is no evidence to support a transfusion in the given scenario.

A Patient Is Admitted After Collapsing at the End of a Summer