AscendRNDaily Question
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A 68 kg stepdown patient with pneumonia has received 2 L of crystalloid and broad-spectrum antibiotics in the past hour. BP is now 84/46 (MAP 59), HR 122, and lactate 4.6 mmol/L, and new fine crackles are heard at the bases. SpO2 is 93% on 4 L. What should the nurse anticipate next?
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