A patient with severe acute pancreatitis has received aggressive fluid replacement therapy. Which assessment finding indicates management of this disorder has been effective?
1. Oxygen desaturation
2. Elevated heart rate
3. Decreasing hematocrit
4. Reduced blood pressure
3
Rationale 1: Oxygen desaturation is a complication that may indicate that the patient's condition is worsening.
Rationale 2: An elevated heart rate indicates hemodynamic instability related to hypovolemia.
Rationale 3: Initially the hematocrit may be elevated as a result of fluid volume deficits. A reduction of the hematocrit toward the normal value is a sign that the fluid therapy has been successful.
Rationale 4: Reduced blood pressure indicates hemodynamic instability related to hypovolemia.
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