While at M.M.’s bedside, the nurse notices he is more drowsy. He is now only oriented to person. The nurse takes another set of vital signs. Vital signs: BP: 84/48 HR: 110 bpm RR: 34 bpm SpO2: 88% on 2L nasal cannula Temperature: 39.2 degrees Celsius The nurse titrates the oxygen flow meter to 4L and updates the ED physician. The ED physician places an arterial line and a central line to initiate vasopressors. He orders a norepinephrine infusion to be titrated to keep the MAP > 65 mmHg. He also tells the nurse to prepare to the patient for transfer to the intensive care unit (ICU). NOTE: Mean Arterial Pressure (MAP) is measured directly with an arterial line; however, to calculate the MAP, the formula is MAP = (systolic BP = 2 x diastolic BP)/3. The MAP should be 60 or over in order to adequately perfuse the coronary arteries, brain, and kidneys. 1. Fill-in-the-Blank. The nurse sets up the norepinephrine infusion and a second nurse independently confirms the medication. The patient now has two peripheral intravenous (IV) sites and a triple-lumen subclavian central venous line. a. Which IV access site(s) would be best to use for the IV administration of norepinephrine? b. Which IV access site(s) would not be appropriate for IV administration of norepinephrine? Explain your rationale. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.
[Expert Solution]: While at M.M.’s bedside, the nurse notices…
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