The nurse is caring for a patient who will be an organ donor. Which of the following interventions will ensure adequate endocrine functioning of the patient?
1. Administer salt poor intravenous fluids.
2. Provide intravenous Dopamine.
3. Provide bolus of levothyroxine, Solu-Medrol, insulin, and 50 percent dextrose followed by continuous levothyroxine intravenous infusion.
4. Administer blood transfusion.
3
Rationale: Management of the patient who is an identified organ donor includes maintaining endocrine stability. To do this, the thyroid protocol should be implemented which is to provide a bolus of levothyroxine, Solu-Medrol, insulin, and 50 percent dextrose followed by a continuous levothyroxine intravenous infusion. Salt poor intravenous fluids are used to manage the renal/fluid/electrolyte status. Intravenous Dopamine is used to manage the patient's hemodynamic status. Blood transfusions are used to manage the hematopoietic status.
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