The nurse is caring for the patient who was admitted to the hospital in septic shock due to Escherichia coli bacteremia. Which patient assessment is most appropriate to report to the inpatient pharmacist on the patient’s medical team?

Urine output 100 mL in last 4 hours. The patient in septic shock due to E coli bacteremia is likely being treated with gentamicin, which is nephrotoxic. It is also excreted by the kidneys. The pharmacist may request renal function tests and gentamicin levels to guide dosing to prevent the gentamicin from reaching toxic levels, especially in the setting of oliguria (less than 30 mL/h). The patient’s heart rate of 122 bpm, high temperature, and hypotension should be reported to the provider rather than the pharmacist.

The nurse is caring for the patient who was admitted to the hospi...

Category: Management of Care
Difficulty: 10

Topics: Communication & Documentation Delegation, Prioritization and Leadership Disease Prevention Elimination Fluid and Electrolytes Health Care Quality Health Promotion Medication and Blood Products

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