Case Study 5: Agnes Bass, a 68-year-old woman, presents to the...

Question Answered step-by-step Case Study 5: Agnes Bass, a 68-year-old woman, presents to the… Case Study 5:Agnes Bass, a 68-year-old woman, presents to the emergency department in acute heart failure complaining of an inability to “catch my breath.” Her initial vital signs are temperature 99F, pulse 108 beats per minute, respirations 28 per minute, and blood pressure 172/90 mm Hg. Her O2 saturation is 88% on room air. Mrs. Bass has a history of uncontrolled hypertension, and her husband reports that for the past 2 months, they did not have sufficient money to buy her medications.After receiving Oxygen at 2 L/min on nasal cannula, placement in a high Fowler’s position, and administration of 40 mg of IV furosemide, Mrs. Bass’s vital signs are temperature 99 F, pulse 102 beats/min, respirations 26 beats per minute, blood pressure 172/90 mm Hg, and O2 saturation 89%. Physical assessment findings include crackles on auscultation, productive cough, and bilateral 2+ peripheral edema to the knees. A cardiologist makes a diagnosis of biventricular heart failure.What is the rationale for the use of IV furosemide to treat heart failure?What is the pathophysiology of fluid overload reflected in the assessment findings?Mrs. Bass has improved, and her vital signs are temperature 98.6F, pulse 84 beats per minute, respirations 18 per minute, blood pressure 132/80 mm Hg, and O2 saturation 94% on room air. Her physician orders an extra dose of 20 mg of IV furosemide to be given now.What administration guidelines should the nurse consider?Mrs. Bass says that she enjoys snacks such as potato chips and pretzels.What response should the nurse make? Health Science Science Nursing NUR 3420 Share QuestionEmailCopy link Comments (0)