The nurse notices that the positive end-expiratory pressure (PEEP) on the patient with respiratory failure is at 11 cm H20 to maintain the patient’s oxygenation. The patient’s blood pressure is at 84/46. What would be the optimal choice to increase the preload of the heart?
  1. Stop the PEEP (positive end-expiratory pressure) and wait for the patient’s blood pressure to go up.
  2. Obtain orders for a fluid bolus.
  3. Hold the blood pressure medications.
  4. Increase the stimulation of the patient’s environment.
Explanation
Answer: B - The optimal choice to increase the preload of the heart would be to obtain an order for a fluid bolus. It is a priority to maintain the patient’s oxygenation, so stopping the positive end-expiratory pressure is not an option. Another option would be to use Vasopressors to increase the maintain blood pressure.
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