A patient is being treated for shock after a motor vehicle accident. The provider orders 6% dextran 75 to be given intravenously. The nurse should expect which outcome as the result of this infusion?
a. Decreased urine output
b. Improved blood oxygenation
c. Increased interstitial fluid
d. Stabilization of heart rate and blood pressure
ANS: D
6% Dextran 75 is a high molecular-weight colloidal solution and is used to treat shock from burns or trauma. Colloids are plasma expanders, and the end result is an improvement in heart rate (decreased) and blood pressure (increased). Plasma expanders will result in an increase in urine output. Blood oxygenation is not affected, and colloids do not increase the amount of interstitial fluid.
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