A patient's urine output is greater than 200 mL/hour and hemodynamic stability cannot be achieved by using fluids and vasoactive medications. The nurse anticipates that which medication may be prescribed?

Question

1. Beta blocker such as Lopressor
2. Diuretic such as furosemide
3. Concentrated sugar such as 50% dextrose
4. Hormone such as vasopressin

Answer 1

4
Rationale 1: A beta blocker would not be indicated for this patient situation.
Rationale 2: A diuretic would not be indicated for this patient situation.
Rationale 3: An infusion of 50% dextrose would not be indicated for this patient situation.
Rationale 4: If hemodynamic stability cannot be achieved using fluids and vasoactive medications, therapy with vasopressin would be instituted. Vasopressin is a synthetic form of antidiuretic hormone (ADH). The expected outcome would be increased vascular volume and decreased urine output.