CNOR Operating Room Nursing

Category - Emergencies

During a surgical procedure, the patient develops uncontrollable bleeding and is quickly progressing into shock. The nurse begins the process of fluid resuscitation. What types of fluids should be administered in this situation?
  1. Crystalloids, such as Ringer’s lactate
  2. Colloids, such as albumin
  3. Hypotonic solutions, such as 0.45% NaCl
  4. Both A and B
Explanation
Answer: D-In this situation, the nurse should provide solutions such as crystalloids, including Ringer’s lactate, or colloids, such as albumin. When a patient begins to bleed uncontrollably, he may develop hypovolemic shock. Giving intravenous fluids adds volume to the intravascular space, helping to correct the situation. Fluids of choice include those that are isotonic and do not move fluid out of the extracellular space.
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