In a case of persistent hypotension in a patient receiving dopamine HCl, what should the therapist recommend?

• A. Placing the patient in reverse Trendelenburg position
• B. Administering additional fluid
• C. Inserting an indwelling arterial catheter
• D. Placing the patient in Trendelenburg position

Answer: (C)

In the context of a patient experiencing persistent hypotension while receiving dopamine HCl, the recommendation to insert an indwelling arterial catheter is particularly relevant. An indwelling arterial catheter allows for continuous blood pressure monitoring, providing crucial real-time data on the patient’s hemodynamic status. This is especially important in a situation with persistent hypotension as it enables healthcare providers to make timely adjustments to treatment, such as medication administration or fluid resuscitation.

While additional fluid administration can be beneficial in certain situations of hypotension, it is not always the appropriate first step, particularly if there are underlying issues such as heart failure or sepsis where excessive fluid could worsen the condition. The positioning of the patient, whether in Trendelenburg or reverse Trendelenburg position, is often considered for managing blood pressure but lacks the precision and continuous monitoring that an indwelling arterial catheter provides. Thus, in a dynamic and critical situation like persistent hypotension, monitoring is essential, and an indwelling arterial catheter is a sound recommendation to guide further interventions effectively.