A patient is receiving norepinephrine 30 mcg/min for treatment of refractory shock
Which assessment findings suggest the patient is experiencing peripheral vasoconstriction from the medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Decreased peripheral pulses
2. Drop in body temperature
3. Onset of paresthesias
4. Drop in blood pressure
5. Increased cardiac output
1,2,3
Rationale 1: At high doses of norepinephrine, decreased peripheral pulses indicates significant vasoconstriction.
Rationale 2: At high doses of norepinephrine, a drop in body temperature indicates significant vasoconstriction.
Rationale 3: At high doses of norepinephrine, paresthesias indicate significant vasoconstriction.
Rationale 4: This medication does not cause a drop in blood pressure.
Rationale 5: An increase in cardiac output is an expected effect of this medication and does not indicate significant vasoconstriction.
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