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Case Study: An 80-year-old non-smoking woman has been taking spironolactone 100mg/day for about 6 years to control her moderate hypertension and mild heart failure. She comes to the emergency department with bilateral crackles to the lower and middle lobes and a blood pressure of 190/120 mmHg. She is short of breath, very anxious, heart rate 134 beats/min., and diaphoretic. Her family assures you she has been taking her medication. The family tells you she has been getting worse over the past 2 weeks since having friends bring her lunches of hot dogs and potato chips every day. Pulmonary edema is diagnosed. Orders include STAT IV furosemide 40mg, oxygen 3LPM via nasal cannula, electrolytes, CBC and an indwelling foley catheter.
1. What is pulmonary edema? What might have been some contributing factors?
2. What are the manifestations of fluid overload?
3. How will furosemide help relieve the patient's symptoms?
4. What information should the nurse know about furosemide administration before administering the drug intravenously?
5. Why was the foley catheter ordered?
6. It has been 45 minutes since the patient received the furosemide. Her foley catheter is in place. She says that she is very thirsty. What assessments should be made at this point?
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Lipid metabolites are often seen as key elements in cellular signaling. Is this unique? Please provide several examples of the function of lipids as key elements in signal arrays and list the biologic functions these signals affect?
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Prepare an essay on nosocomial infection.
To increase the awareness of monitoring and recording the blood pressure of patients and practice measuring blood pressure in a safe environment.
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