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Biology, 21.09.2019 01:00 AshyCakes

You are just getting caught up with your work when you receive the following phone call: “hi, this is deb in the ed. we’re sending you linda, a 53 y/o woman with a pmh of cad, dm, htn, and dyslipidemia. her daughter reports that she’s become increasingly weak over the past couple of weeks and has been unable to do her housework. apparently she has been c/o swelling in her ankles and feet by late afternoon (“she can’t wear her shoes”) and has nocturnal diuresis her daughter brought her in because she has c/o heaviness in her chest off and on over the past few days but denies any discomfort at this time. the daughter took her to see her family physician, who immediately sent her here. vs are 146/92, 96, 24, 37.2°c. she has an iv of d5w at kvo in her right forearm. her labs are as follows: na+ 134 mmol/l, k+ 3.5 mmol/l, cl- 103 mmol/l, hco3- 23, bun 13 mg/dl, creatinine 1.3 mg/dl, glucose 153 mg/dl, wbc 8.3 thou/cmm, hct 33.9%, hgb 11.7 g/dl, platelets 162 thou/cmm. pt/inr, ptt, and urinalysis (ua) are pending. she has had her cxr and ecg, and her orders have been written. 9. the resident is coming to the floor to evaluate the patient immediately. in the meantime she orders furosemide 40 mg ivp stat. you have only 20 mg in stock. should you give the 20 mg now, then give the additional 20 mg when it comes up from the pharmacy? explain your answer

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