Ms C. J. A patient on the medical-surgical unit, was adminitted 2 days before wi

Question

Ms C. J. A patient on the medical-surgical unit, was adminitted 2 days before with a diagnoses of exacerbation of heart failure. this morning her blood pressure is 175/80 mm Hg. She denies chest pain but states that she has been experiencing shortness of breath at night while sleeping. her baseline weight at admission was 170 lb, but this morning's scale indicates a 4-lb weight gain, and +3 pitting edema to the lower extremities is evident. The nurse telephones the doctor and recieves an order for furosemide 40 mg by mouth twice daily and metopolol 25 mg PO daily to start immediately. 2.Which labs should the nurse review prior to administering furosemide and metoprolol?

Explanation / Answer

The labs the nurse should review prior to administering furosemide and metoprolol include;

Monitoring the electrolytes, renal and hepatic function, serum glucose, and uric acid levels before and periodically throughout therapy. Commonly decreased serum potassium. May cause decreased serum sodium, calcium, and magnesium concentrations. May also cause increased BUN, serum glucose, creatinine, and uric acid levels.

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