An alert and oriented patient presents with a pulmonary artery occlusion pressure (PAOP)of 4 mm Hg,blood pressure of 88/50 mm Hg,cardiac index of 1.8,and urine output of 15 mL/h.The patient's blood urea nitrogen (BUN)is 44 mg/dL and creatinine is 3.2 mg/dL.Lungs are clear to auscultation with no peripheral edema noted.Which treatment would the nurse expect the practitioner to order?

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The patient's hemodynamic parameters are most consistent with hypovolemia.The acute kidney injury would probably be prerenal from inadequate blood flow.The treatment of choice for hypovolemia is fluid resuscitation.Important criteria when calculating fluid volume replacement include baseline metabolism,environmental temperature,and humidity.The rate of replacement depends on cardiopulmonary reserve,adequacy of kidney function,urine output,fluid balance,ongoing loss,and type of fluid replaced.

An Alert and Oriented Patient Presents with a Pulmonary Artery