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In: Nursing

M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart...

M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I can't catch my breath and my legs are as big as tree trunks.” After further questioning, you learn that she is strictly following the fluid and salt restriction ordered during her last hospital admission. She reports gaining 1 to 2 pounds every day since her discharge.

What is the rationale for changing the route of the furosemide (Lasix)?

You administer furosemide (Lasix) 80mg IVP. Identify three parameters you would use to monitor the effectiveness of this medication?

Solutions

Expert Solution

1. For the quicker absorption to the blood stream .

2. The parameters are

- weight checking ( now she reports weight gaining of 1 to 2 lbs everyday ).

- urine output ( now she reports her legs are as big as tree trunks it indicates excessive fluid accumulation edema ). Lasix is giving to treat the edema , it will increase the urine output.

- normal respiratory pattern ( she will able to breath normally).


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