Select all assessments that the nurse should include to evaluate end-organ perfusion in an ICU client receiving vasopressors for shock.
Select All That Apply
Choose your responses, then check the answer.
Explanation
End-organ perfusion in shock requires trends from several systems: mental status for cerebral perfusion, hourly urine output and kidney function for renal perfusion, serial lactate interpreted in clinical context, and peripheral perfusion findings such as capillary refill, skin temperature, and mottling. When a central venous oxygen saturation is clinically indicated and available, its trend can add information about oxygen-delivery balance. Hepatic and renal laboratory trends may reveal organ injury. A target MAP is important but does not prove adequate tissue perfusion by itself, and daily weight is too slow to serve as the sole immediate perfusion measure.