Question

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.

1. What error in teaching most likely occurred when M.G. was discharged 10 days ago?

2. Which of these medications may have contributed to M.G.'s HF? Explain.

-Enalapril (Vasotec) 5 mg PO bid
-Pioglitazone (Actos) 45 mg PO every morning
-Furosemide (Lasix) 40 mg/day PO
-Potassium chloride 20 mEq/day PO

3. How do angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), work
to reduce HF?

4. The doctor orders Furosemide (Lasix) 80mg intravenous push (IVP) now, then 40mg/day IVP for M.G.

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

5. What laboratory tests should be ordered for M.G. related to the order for furosemide (Lasix)?

Answer 1

1,she may got teaching error in the diuritic therapy means she didnt get adequate amount of lasix

2,Enalapril 5 mg- It helps to prevent strokes heart attacks and kidney problems and ventricular disfunction

Furosemide40 mg- It helps to reduce fluid loss and heart load

3, Enalapril works by blocking a subsance in the body that causes the blood vessels to tighten as a result the enalapril relaxes the blood vessels this lowers blood pressure and increases the supply of blood and oxygen

4, Assess fluid status monitor daily weight intake and output ratios amount and location of edema lung sound skin turgor and mucos membranes notify health care professinal if thirst dry mouth lethargy weakness hypotension or oliguria occurs monitor bp and pulse before and during administration

5,Serum creat, Pcv

plz give a thums up