Hypovolemic shock,

Treatment fluid loss. restoring volume through IV fluids, and improving hemodynamic spacing).
vasoactive medications (eg, no

repinephrine, dopamine) Norepinephrine causes nd improves heart contractility/output. but the effects
of shock. end quickly. It should be tapered slowly and stability asal cannula. This client has an oxygen
saturat

ion of 99%; therefore Option 1, weaning space (third- cautiously to avoid the progression or relapse

() Oxygen via facem ning antibiotics would be a greater concern if the client were in septic, rather than
hypovolemOption 3) Poic, shock. It ask is used to improve tissue oxygenation during shock. With
improvement, it would is appropriate.

(stpo is more i(% NS) is a hypotonic mportant to confirm that norepinephrine is available to ensure
hemodynamic stability. ) 0.45% normal saline fluid that decreases circulatory volume. Clients in
hypovolemic shock require olutions (eg, 0.9% NS, lactated Ringer) to increase circulatory volume.
Infusion of '% NS is more aisotonic sppropriate for

(with hypertonic o ve n medications dehydration (eg, excessive perspiration).

4 a client

objective: are the first steps in treating this hemorrhage discontinuing vasoactive medications can cause
hemodyn Hypovolemic shock occurEducational f blood loss, increasing blood volume through IV fluids,
and improving blood pressure with vasoacti Optios when blood volume decreases via always be tapered
or third-spacing. Stopping the source

amic instability; these medications should conditiovasoconstriction an. Abruptly slowly.

ommon type of shock, occurs involves preventing additional when blood volume decreases through
hemorrhage or movement of fluid from

through the most c the intravascular compartment into the interstitial be appropriate to wean the client
to a n

Asymptomatic newborns with low blood glucose (<40-45 mg/dL [2.2-2.5 mmoULD should be fed breast
milkllitus during pregnancy exposes the fetus to high blood glucose (BG) levels. This results in fetal
hyperglycemia

Explanatontrollion

Poorly ced diabetes me, which causes insulin hypersecretion by the fetus and promotes abnormal
growth and stora <24 ge of fat (ply put the newborn at risk for hypoglycemia.
Although there is no standard demacrosomia). Immediately after birth, transient hyperinsulinemia and
sudden cessation of the maternal glucose supfinition for newborn hypoglycemia, a normal range for
serum BG in a newborn agehours is 40-60 mg/dL (2.2-3.3 mmollL), and a low BG is <40-45 mg/dL (<2.2-
2.5 mmol/L). If a reasnewborn has a low BG and is asymptomatic. immediate feeding with formula or
breast remain <40-45 mg/dL (2.2-2.5 mmol/L) after feedinskin-to-skin contag Although cold stress may
cause hypoglycemia milk should begin to ince BG and prevent further hypoglycemia (Option 1).

(Onurse newborn is symptomatic or BG levels, feeding and keeping the newborn warm via ct are
priorities whose.

(Option 4) sption 2) If the Newborns

tion of stored glucose. Common, the hould notify the health care provider and prepare to administer IV
glucose. nly in newborns of mothers with diabetes due to elevated insulin e

(who have hypoglycemia and are symptomatic (eg, poor feeding, jitteriness, irritability) or those Option
3)

signs includ al objective: Hypoglycemia occurs commo

through feeding require IV glucose administration.

Education poor feeding, jitteriness, and irritability. or formula immediately.

BG is not increased levels and consump