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Essentials of Strength Training and Conditioning4th EditionG Haff, N Triplett 121 solutions A patient is taking furosemide 40 mg daily for heart failure and hypertension. It is most important for the nurse to assess the patient for the development of a. low serum potassium, sodium, and magnesium, and elevated calcium. Recommended textbook solutions
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Pharmacology: An Introduction8th EditionBarbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh 1,355 solutions 1. The patient's allergies The nurse should verify if the patient is allergic to sulfonamides, because there is a cross-allergy to loop diuretics. Before administering a loop diuretic such as furosemide to a patient, the nurse should assess the patient's serum potassium level. A major side effect of loop diuretics is hypokalemia. If the patient's potassium level is not within normal limits, the dose should not be given, and the primary health care provider should be notified. The nurse should also assess the patient's baseline renal function, because loop diuretics should not be administered to patients with end-stage renal disease, in which the nephrons are not functioning. The nurse should also assess the patient's fluid intake and urine output. A loop diuretic pulls off excess fluid, so if the output is greater than the intake, the medication is effective. The patient's level of consciousness would be assessed if an osmotic diuretic was administered for cerebral edema. Recommended textbook solutions
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The Human Body in Health and Disease7th EditionGary A. Thibodeau, Kevin T. Patton 1,505 solutions Health: The Basics11th EditionRebecca J. Donatelle 249 solutions What labs should be monitored when taking furosemide?Lab Test Considerations:
Monitor electrolytes, renal and hepatic function, serum glucose, and uric acid levels before and periodically throughout therapy.
What laboratory tests should be monitored when a patient is receiving diuretic therapy?Lab Test Considerations: Monitor electrolytes (especially potassium), blood glucose, BUN, and serum uric acid levels before and periodically throughout course of therapy.
Should you monitor potassium levels with furosemide?Monitor the patient closely for hypokalemia if furosemide is used concomitantly with digoxin. Hypokalemia may increase the risk of digoxin toxicity. Adverse effects include dehydration, hypotension, and electrolyte imbalances such as hypokalemia.
What should be monitored when taking diuretics?Clinicians should include periodic monitoring of blood pressures, fluid status (including weight), serum electrolytes, and renal function in continued diuretic treatments. Goals for diuresis should consist of dosage adjustments as patients progress with their response to the diuretics.
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