Question

1-A woman comes to the hospital for her follow-up appointment. She was diagnosed 8 months ago with heart failure. However, the patient does not want to make diet and lifestyle modifications. She says that her feet are still unable to fit perfectly in shoes and her medication does not help the edema in her legs and ankles. The doctor wants to increase her level of furosemide , what problems should the doctor be most aware of?

Hyperkalemia

Hepatic encephalopathy

Hearing loss

Hypercalcemia

Diuretic-induced metabolic acidosis

2-Classic angina is caused by:

A remodeling of the left ventricle after a myocardial infarction

A reduction in perfusion of a certain area in the myocardial muscle

A reduction in the body’s supply of nitroglycerin

Imbalance between what is needed and what is provided of oxygen

Answer 1

1) The doctor wants to increase the level of furosemide , So the doctor will be most aware of the following problem --

Hypercalcemia..

( Because-- By the use of excessive loop diuretics, there is a chance to increse the serum calcium levels in the blood..As a result of this Hypercalcemia can occour..
Furosemide is an example of loop diuretics..)

2) Classic angina is caused by --

Imbalance between what is needed and what is provided of oxygen..

( Because-- Angina or chest pain is occurred when there is deficiency in blood supply in the heart..so, by the decrease level of blood supply oxygen supply is decreased in the heart.. & as a symptoms of this event,, Angina or Chest pain may occour..)