The nurse is caring for a patient in shock with an elevated lactate level.Which order should the nurse question in the management of this patient?
A) Start an insulin drip for blood sugar greater than 180 mg/dL.
B) Administer sodium bicarbonate to keep arterial pH greater than 7.20.
C) Start a norepinephrine drip to keep mean arterial blood pressure greater than 65 mm Hg.
D) Administer crystalloid fluids.

Question

Quizplus · Accepted Answer

Sodium bicarbonate is not recommended in the treatment of shock-related lactic acidosis.Glucose control to a target level of 140 to 180 mg/dL is recommended for all critically ill patients.Vasoconstrictor agents are used to increase afterload by increasing the systemic vascular resistance and improving the patient's blood pressure level.Crystalloids are balanced electrolyte solutions that may be hypotonic,isotonic,or hypertonic.Examples of crystalloid solutions used in shock situations are normal saline and lactated Ringer solution.

The Nurse Is Caring for a Patient in Shock with an Elevated