A nurse is preparing to hang intravenous dopamine (Intropin) for a patient with dysrhythmias in the intensive care unit. Which of the following would most concern the nurse?
a. The patient asks why the solution is brown.
b. The patient states that she is experiencing a little more urination than normal.
c. The patient has a triple lumen intrajugular central line.
d. The patient has the potential to become an intravenous drug user.
ANS: A
Dopamine should be discarded if the solution is not clear, as would be the case with most intravenous solutions. The potential for serious reactions exists if a tainted solution is administered. A nurse should always be aware of the reason for a change in the color of an intravenous solution, such as when multivitamin is added to the solution.
Dopamine is indicated to increase the patient's blood pressure, thereby increasing cardiac output, and an expected consequence of that effect would be an increase in urination.
Dopamine is administered intravenously in any of the various types of peripheral and central lines, therefore use of an intrajugular central line would not be a concern.
There is no risk of drug addiction to dopamine.
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