To assist with the common complication of hypotension for the patient undergoing continuous renal replacement therapies, the nurse could implement which actions? Note: Credit will be given only if all correct choices and no incorrect choices
are selected. Select all that apply. 1. Infuse 0.9% sodium chloride boluses.
2. Administer mannitol.
3. Decrease the rate of ultrafiltration on the dialyzer.
4. Administer albumin.
5. Place the patient in a high-Fowler's position.
1,2,3,4
Rationale 1: The nurse might manage hypotension by administering normal saline boluses.
Rationale 2: The nurse might manage hypotension by providing volume expanders such as mannitol.
Rationale 3: The nurse might manage hypotension by decreasing the rate of ultrafiltration on the dialyzer.
Rationale 4: The nurse might manage hypotension by providing volume expanders such as albumin.
Rationale 5: Raising the head of the bed would lower the blood pressure even further. Lowering the head of the bed would, instead, raise the blood pressure.
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