A patient with severe acute pancreatitis has the following vital signs after fluid resuscitation: BP 84/53 mm Hg and HR 61 bpm. What would the nurse consider as next steps of care for this patient?
1. Assess for hypovolemic shock.
2. Prepare to administer diuretics.
3. #if an antihypertensive would be indicated.
4. Prepare to administer potassium chloride.
1
Rationale 1: If the patient's fluid status does not improve or worsens, consider hypovolemic shock.
Rationale 2: This patient's fluid status is low. A diuretic would cause a further loss of fluid and would not be the next steps of care for this patient.
Rationale 3: The patient's blood pressure is low. An antihypertensive would not be the next steps of care for this patient.
Rationale 4: The administration of an electrolyte replacement would not be indicated unless laboratory data supports the need. This would not be the next step of care for this patient.
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