after ards is better

[mlf0323]

After administering Furosemide the patient states she feels like her heart has flipped upside down in her chest and feels like there is a bird flopping around in there. What are the first two actions should I take and why?

[Esme12, ASN, BSN, RN]

is this for school? Is this an NCLEX question?

[cayenne06, MSN, CNM]

what do you think? We can help you tease it out, but no one is going to give you the answer :)

[mlf0323]

I looked up what type of dysrhythmia this sounded like and came up with PVC's which helped with the next question. The last question is this. OH its a case study not NCLEX. After interpreting ABG's I have determined G.S is in respiratory acidosis. Here is the question: You notice that G.S looks frightened and is lying stiff as a board. How would you respond to this situation?

[mlf0323]

I am not sure this information is enough to determine starting mechanical ventilation? This patient may just be anxious!

[Esme12, ASN, BSN, RN]

What were the AGB's? What information did they give you? What electrolyte....if it is low can cause muscle tetany? What electrolyte depletion will also cause that arrythmia?

Thread moved for best assistance

[nurseprnRN, BSN, RN]

The question tells you the tow are associated (furosemide (Lasix) first, palpitations following).

What's the electrolyte that is lost with furosemide? What happens when that electrolyte is low? How would you be sure?

That enough hints yet? :)

[Pink Magnolia, BSN, RN]

The first thing I would do is ASSESS the patient. If I obtained a low BP, I would have my pt lay down to get the blood flowing (tachycardia can be a sign of hypotension/hypovolemia). Then I would notify the provider using SBARR (situation, background, Assessment, Recommendation, Read back).

loop diuretics can cause > low K (if on digoxin > toxicity) & orthostatic hypotension

I would want to get a serum potassium level and administer fluids.

Is this what you all would do? I'm a student too.

[nurseprnRN, BSN, RN]

The first thing I would do is ASSESS the patient. If I obtained a low BP, I would have my pt lay down to get the blood flowing (tachycardia can be a sign of hypotension/hypovolemia). Then I would notify the provider using SBARR (situation, background, Assessment, Recommendation, Read back).

loop diuretics can cause > low K (if on digoxin > toxicity) & orthostatic hypotension

I would want to get a serum potassium level and administer fluids.

Is this what you all would do? I'm a student too.

One more thing: How would you assess those palpitations? What would you see, probably?

(... and your patient would lie down. To lay down an object is to physically put it down; you might lay down a baby, for example, but you might have a hard time laying down a big person. People lie down, and they lay down objects/the law/an edict.)(no extra charge :) )

[Pink Magnolia, BSN, RN]

One more thing: How would you assess those palpitations? What would you see, probably?...

Since the patient may have a weak irregular pulse, would I want to obtain an ECG because hypokalemia can cause PVCs, flattening T waves, and ST depression?