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[Expert Solution]: M.G., a “frequent flier,” is admitted to the e

M.G., a “frequent flier,” 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. 1. What error in teaching most likely occurred when M.G. was discharged 10 days ago? During the admission interview, the nurse makes a list of the medications M.G. took at home which are included in the chart view below. 2. Which of the listed medications may have contributed to M.G.’s heart failure? Explain. 3. How do angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), work to reduce heart failure? After reviewing M.G.’s medications, the physician writes new medication orders. 5. What is the rationale for changing the route of the furosemide (Lasix)? 6. After the registered nurse administers furosemide (Lasix) 80 mg IVP, what three parameters would the licensed practical nurse be alert for when monitoring for therapeutic effectiveness of the medication. 7. What laboratory tests should be ordered for M.G. related to the order for furosemide? 8. What is the purpose of the beta blocker carvedilol. 9. Provide important teaching points to discuss with M.G. during discharge planning.

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