Case Study (Heart Failure)

758 Words Jan 16th, 2016 4 Pages
Case Study 1
Heart Failure

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 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?

If M.G. is currently following her fluid and salt restriction strictly but is still exhibiting the symptoms of fluid
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What is the rationale for changing the route of the furosemide (Lasix)?

The medication will work quicker via the IVP route because it is available to the bloodstream much quicker than with the oral route, this will allow M.G. to start losing the excess fluid that is causing her unwanted symptoms.

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

The three parameters to check for effectiveness of the furosemide would be: urine output, lung sounds (no crackles) and daily weights.

6. What laboratory tests should be ordered for M.G. related to the order for furosemide (Lasix)? (Select all that apply) a. Magnesium level b. Sodium level c. Complete blood count (CBC) d. Serum glucose levels e. Potassium level f. Coagulation studies

7. What is the purpose of the beta blocker carvedilol? It is given to: g. Increase the contractility of the heart h. Cause peripheral dilation i. Increase urine output j. Reduce cardiac stimulation by catecholamines

Case Study
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