What is the rationale for changing route of the furosemide

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Assignment:

M.G. is a 60-year-old retired teacher 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.

After reviewing M.G.'s medications, the physician writes these medication orders:

• Enalapril (Vasotec) 5 mg PO bid

• Carvedilol (Coreg) 100 mg PO every morning

• Glipizide (Glucotrol) 10 mg PO every morning

• Furosemide (Lasix) 80 mg IV push (IVP) now, then 40 mg/day IVP

• Potassium chloride (K-Dur) 20 mEq/day PO

1. What is the rationale for changing the route of the furosemide (Lasix)?

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

Reference no: EM133865342

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