Preview

Furosemide 40b Case Study

Good Essays
Open Document
Open Document
796 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Furosemide 40b Case Study
level must be monitored as required in order to prevent further cardiac damage or other health complications. The nurse must observe for signs of hypokalemia such as fatigue, muscle weakness, and cramps as these could be a warning sign for hypokalemia.
The furosemide 40mg is given mouth in the morning to avoid nocturnal. In order words, furosemide is given to Mrs. A as a diuretic treatment to take care of fluid retention related with this patient congestive Cardiac Failure. Also, Mrs. A's furosemide dose of 40 mg daily in the morning is a normal first dose and ought to be regulated based on this patient reaction. The idea of given this medication in the morning is properly executed to lessen wakefulness and lessen gastric commotion. There is a possibility that furosemide might boost Mrs. A’s digoxin effect, which may necessitate an interchange
…show more content…
A, the prescribed Digoxin is used to manage Mrs. A's congestive cardiac failure. Meanwhile, the stated digoxin dose of 250 micrograms every day surpasses the standard maintenance dose for a patient of her age. The common fact remains that Mrs. A is distressing from the digoxin toxicity and can be multifaceted by taking furosemide while she is on digoxin. Mrs. A's indications of confusion, fatigue, irritability, and visual disturbance are indicative of digoxin poisoning. Mylanta can hold back the efficiency of digoxin, but the digoxin dosage more than the usual which may not be affected too much while taking Mylanta. Mrs. A's digoxin dosage has to be change based on her medical circumstance and serum digoxin levels need to monitor closely. Digoxin ought to be administered with meals to reduce the consequences of gastric exasperation that may arise if taken without food. Both Furosemide and digoxin can grounds hypokalemia which can be regulated by encouraging Mrs. A to eat potassium-rich foods, educating her on dosage regimen, report signs of digitalis toxicity, and follow the treatment

You May Also Find These Documents Helpful

  • Powerful Essays

    Post Partum HESI Case Study

    • 6112 Words
    • 25 Pages

    Prior to discontinuing the IV Pitocin (oxytocin), which assessment is most important for the nurse to obtain?…

    • 6112 Words
    • 25 Pages
    Powerful Essays
  • Satisfactory Essays

    Digoxin “increases intracellular calcium and allows more calcium to enter myocardial cells during depolarization” (Karch, 2017 p.756). The increase in calcium leads to: increased force of contractions, increased cardiac output and renal perfusion, slower heart rate, and decreased conduction velocity through the AV node (Karch, 2017). This medication is indicated for HF, a-flutter, a-fib, and paryoxysmal atrial tachycardia (Karch,…

    • 405 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Symptoms: headache, hypotension and flushing (from vasodilation), muscle twitches (from hyperkalemia), N/V/D, confusion. Also see Kussmaul resps to compensate…

    • 457 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    4. Explain the rationale for these medications and treatments: dobutamine increases the cardiac output without significantly increasing the heart rate which will help with perfusion. Furosemide is a diuretic which will mobilize excess fluid (edema) and lower the blood pressure. Digoxin…

    • 696 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Greg Wilson, a 65-year-old man, is diagnosed with pneumonia. He has a history of congestive heart failure. His physician has ordered an antibiotic for the pneumonia and he takes digoxin every day.…

    • 503 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Complete the medical abbreviations chart. (Note that the medical abbreviations are the same as those highlighted in yellow in Jane Dare’s Health Record). In the second column, list what each of the individual letters in the abbreviation represents. In the third column define the context or meaning of the term that the abbreviation represents. Use simple terms. Finally, in the far right column, identify the source document. For example, face sheet, discharge summary, progress notes, or x-ray report.…

    • 882 Words
    • 8 Pages
    Good Essays
  • Powerful Essays

    Study Guide for Exam 1

    • 1106 Words
    • 5 Pages

    Hypokalemia: caused by excessive diuresis and mag deficiency UWAVE PRESENT LETHAL VENTRICULAR RHYTHMS , SUPPLEMENTS SHOULD NEVER EXCEED 60MEQ/L AND RATE SHOULD NEVER EXCEED 10-20 MEQ/HR…

    • 1106 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Apa Case Study Essay

    • 472 Words
    • 2 Pages

    cardiac monitoring, k+ monitoring, monitor breathing and circulation. IV administration of calcium gluconate, glucose, and insulin, if ineffective possible dialysis (hemodialysis or peritoneal) Diuretics to assist with excretion of excess K+. Education regarding foods and complications ect. Assess patients understanding of appropriate salt substitutes and potassium replacements. Counseling for possible…

    • 472 Words
    • 2 Pages
    Good Essays
  • Better Essays

    module 4 PPA

    • 2313 Words
    • 10 Pages

    These codes are added to ICD codes and can be used for diagnosis or procedure.…

    • 2313 Words
    • 10 Pages
    Better Essays
  • Powerful Essays

    Oncology QSEN Case Study

    • 1606 Words
    • 7 Pages

    -A low hemoglobin (8.5) and low hematocrit (25%) and low RBC’s may affect my patient by her exhibiting a faster than normal heartbeat, fatigue, feeling short of breath, lack of energy, and pale skin and gums.…

    • 1606 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    A-Fib Case Study

    • 630 Words
    • 3 Pages

    . I expect that following 8 hours shift the patient or caregiver will explain actions and precautions to take for orthostatic hypotension. The patient will not sustain fall during 8 hours shift. I anticipate that the patient and her caregiver will implement strategies to increase safety and prevent falls at home. I predict that the pain is will be reduced/ and lost the spasms will be controlled at the end of 8 hours shift . I presume that the patient will report decrease of urgency with urination within 3days. Also, I anticipate a decreasing occurrence of the dyshrthmia ( by decreasing contributory factors) to maintain cardiac output during my 8 hours shift and at the same time I assume minimize anxiety acquiring knowledge of dysrhytmia incorporing coping mechanism at home…

    • 630 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Digoxin – this is used to slow and steady the heart. The pulse should be checked before it is given and if the pulse dips below 60 beats per minute advice should be given.…

    • 243 Words
    • 1 Page
    Satisfactory Essays
  • Best Essays

    Type 1 Diabetes Mellitus

    • 2111 Words
    • 9 Pages

    The patient is asked about symptoms of DKA, such as nausea, vomiting, and abdominal pain. Laboratory results are monitored for metabolic acidosis (i.e. decreased pH and decreased bicarbonate level) and for electrolyte imbalance. If the patient exhibits signs and symptoms of DKA, the nursing care first focuses on treatment of these acute complications, as outlined earlier. Once these complications are resolving, nursing care then focuses on long-term management of diabetes. The patient 's emotional status is assessed by observing his or her general demeanour (e.g., withdrawn, anxious) and body language (e.g., avoids eye contact). The patient is asked about major concerns and fears about diabetes; this allows the nurse to assess for any misconceptions or misinformation regarding diabetes. The nurse is also assessing the vital signs of the patient such as temperature, respiration, blood pressure etc. and develops a baseline of these results. In this case the patients normal vital signs were as follows : Temperature- 36.4◦, Blood Pressure- 114/70, Respiration rate- 18 breaths per…

    • 2111 Words
    • 9 Pages
    Best Essays
  • Powerful Essays

    The material featured in this document is subject to Redcrier Publications Ltd copyright protection unless…

    • 7163 Words
    • 33 Pages
    Powerful Essays
  • Good Essays

    Assessed for presence of edema, I & Os, lab values of sodium and potassium, vital signs performed q hour, breath sounds assessed, cardiac monitoring.…

    • 469 Words
    • 2 Pages
    Good Essays