Nursing management of a patient with a clipped cerebral aneurysm receiving hypertensive hypervolemic hemodilution therapy includes
a. administering osmotic diuretics and vasodilator agents.
b. providing the patient with a quiet environment.
c. maintaining the patient's systolic blood pressure at 150 to 160 mm Hg.
d. keeping the patient's central venous pressure at 5 to 8 mm Hg.
C
Hypertensive hypervolemic hemodilution therapy involves increasing the patient's blood pressure and cardiac output with vasoactive medications and diluting the patient's blood with fluid and volume expanders. Systolic blood pressure is maintained between 150 and 160 mm Hg. The increase in volume and pressure forces blood through the vasospastic area at higher pressures.
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