A patient with sepsis has been ordered IV dopamine. Which assessment findings should the nurse discuss with the prescriber prior to administering this medication? Note: Credit will be given only if all correct choices and no incorrect choices
are selected. Select all that apply. 1. The patient's heart rate has dropped from 100 bpm to 80 bpm.
2. The patient's urinary output is 20 mL in the last hour.
3. Epinephrine has not yet been given.
4. The patient does not yet have a central line.
5. The patient's mean arterial pressure is 58 mmHg.
2,4
Rationale 1: There is no contraindication to providing dopamine to this patient.
Rationale 2: This patient is not adequately fluid resuscitated, so vasopressors such as dopamine will not be effective.
Rationale 3: Epinephrine is the first alternative vasopressor if there is no response to dopamine or norepinephrine.
Rationale 4: It is preferable to administer dopamine through a central line.
Rationale 5: The goal is to keep the mean arterial pressure above 65 mmHg, so medication or fluid is indicated.
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