The patient has been admitted to the hospital with nausea and vomiting that started 5 days earlier.His blood pressure is 80/44 mm Hg and heart rate is 122 beats/min; he has not voided in 8 hours and his bladder is not distended.The nurse anticipates an order 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