Hyponatremia Case Summary

Words: 750
Pages: 3
Open Document
Mrs. Smith has CHF that is complicated by her additional comorbities of hypertension (HTN), coronary artery disease (CAD), and diabetes mellitus (DM). Her medication and treatment plan must reflect the consideration of these concomitant illnesses. To immediately address her fluid volume overload-associated symptoms, an intravenous diuretic would resolve such symptoms. According to Fenestermacher and Hudson (2016), loop diuretics should be used to improve the fluid balance in patients with class II through IV of the New York Heart Association (NYHA) class; therefore, furosemide should be used, for Mrs. Smith is symptomatic with minimal activity, which places her in the class III classification. Furosemide 40 milligrams intravenous push twice-a-day should be started for this aspect of her CHF. This loop diuretic is better for Mrs. Smith, for it would not increase her risk for hyperkalemia, which is seen with the …show more content…
Smith also has a couple of electrolyte imbalances that must be addressed and corrected to reduce complications. First, Mrs. Smith has hyponatremia. According to Braun, Barstow, and Pyzocha (2015), heart failure-related hyponatremia is a hypervolemic form of hyponatremia that should be treated with diuretic, ACEI, and beta blocker therapy. The diuretic therapy immediately corrects the fluid and hyponatremia imbalance, and the other two medications treat the underlying cause, which is the activation of the renin-angiotensin-aldosterone system from CHF. The hyponatremia will be corrected with the furosemide, lisinopril, and metoprolol therapy. Mrs. Smith’s other electrolyte imbalance is hypomagnesemia. This must be corrected prior to administering furosemide, for furosemide can further deplete Mrs. Smith’s serum magnesium level, which will predispose her to hypomagnesemia-associated dysrhythmias (Fenestermacher & Hudson, 2016). Therefore, Mrs. Smith should also receive one gram of magnesium sulfate intravenously before the administration of
Show More

Related Documents: Hyponatremia Case Summary

Clostridium Difficile Colitis Case Study Essay

The patient I chose for this case study is a 98-year-old female, who lives next door to her son and daughter in law. She is a widow of six years and has been retired for over twenty years now. Her house is a one-story rancher, that has been made handicap accessible for getting in and out of the house. She was able to live independently, with her son available for help whenever she needed it. The patient wears glasses due to poor vison, wears hearing aids, and is right hand dominate. The patient’s…

Words 1855 - Pages 8

Macro Nurtrients Essay

Anabela De Barros Macro Nutrients Macronutrients are nutrients that provide energy. All living organisms need energy for their body’s activities and processes. Energy is consumed in the form of food. The organic components of food that can be used are carbohydrates, fats and proteins. Our bodies convert starches, fats, sugars and proteins into energy. Molecules are held together by an energy source, energy is released when the bonds between atoms in molecules are broken. Any unused energy escapes…

Words 2868 - Pages 12