A Patient Who Has Just Been Admitted with Septic Shock

Multiple Choice

A patient who has just been admitted with septic shock has a BP of 70/46, pulse 136, respirations 32, temperature 104.0° F, and blood glucose 246 mg/dl. Which order will the nurse accomplish first?

A) Start insulin drip to maintain blood glucose at 110 to 150 mg/dl.
B) Give normal saline IV at 500 ml/hr.
C) Titrate norepinephrine (Levophed) to keep MAP at 65 to 70 mm Hg.
D) Infuse drotrecogin-a (Xigris) 24 mcg/kg.