What factors would be important in selecting a specific diuretic?
Please answer ONE of the following DQ’s. Please provide the questions that is being answered as the heading. Incomplete answers will be marked as “0.”
Chapter 38
A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications––including a diuretic.
a. Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic? How would you explain to this patient how it works?
b. If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? As his health care provider, how would you change his treatment in this situation?
Chapter 39
A 43-year-old man presents to the clinic you work at for a follow-up blood pressure check accompanied by his 9-year-old daughter. He is noted to still have hypertension (high blood pressure). The physician prescribes an angiotensin-converting enzyme (ACE) inhibitor.
a. The 9-year-old daughter asks you how this medication works. How would you explain this to her in a way she can understand?
b. What might be other suggestions (besides medications) you would make to this patient to help him decrease his blood pressure? Why?
Chapter 40
A 4-year-old girl presents with her parents to the emergency room you work at. Her parents explain that the flu is going around her daycare and that their daughter began to feel sick 4 days ago. She has been unable to eat since then, with prolonged vomiting for 3 days. She is admitted to the hospital for rehydration and correction of her acid–base disturbance.
a. Her parents are highly concerned about how she could have developed an acid–base disturbance from the flu. How do you respond to this concern by the parents?
b. Her parents tell you they tried to give their daughter a pediatric hydrating drink they found at the store, but she was unable to keep it down. They ask you in the future if this would have helped their daughter from developing an acid–base disturbance. How do you respond to this question by the parents?
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