hard · NCLEX-RN pharmacology
An RN is preparing to titrate a vasopressin infusion as an adjunct to norepinephrine for a client with refractory distributive shock. Which considerations should guide the nurse's clinical judgment? Select all that apply.
- Ensure the infusion is titrated frequently to achieve a MAP of 90 mm Hg.
- Monitor the 12-lead ECG for signs of myocardial ischemia or ST-segment changes.
- Vasopressin should be administered through a central venous access device.
- Bolus the medication through the pump whenever the SBP falls below 90 mm Hg.
- Observe for signs of peripheral digital ischemia or coolness in the extremities.
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