A family member of a patient who is in adrenal crisis asks why the IV cortisone is continued after the initial IV push of Solu-Cortef, which seemed to stop the symptoms. What is the best explanation by the nurse?
a. Solu-Cortef has a very brief therapeutic period and needs a maintenance IV infu-sion to keep up the level.
b. IV infusions guarantee that Solu-Cortef will be absorbed.
c. Long-term IV infusions maintain adequate urine output.
d. IV cortisone supports peripheral perfusion and elevates the blood pressure.
A
Administering IV push Solu-Cortef will dramatically relieve the symptoms, but the therapeutic period is only approximately 5 hours; consequently, a slower IV infusion is needed to keep up the level of cortisol.
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