The Nurse in a Rural Nursing Outpost Has Just Been

Multiple Choice

The nurse in a rural nursing outpost has just been notified that she will be receiving a patient in hypovolemic shock due to a massive postpartum hemorrhage after her home birth. You know that the best choice for fluid replacement for this patient is what?

A) 5% albumin because it is inexpensive and is always readily available
B) Dextran because it increases intravascular volume and counteracts coagulopathy
C) Whatever fluid is most readily available in the clinic, due to the nature of the emergency
D) Lactated Ringers solution because it increases volume, buffers acidosis, and is the best choice for patients with liver failure