A nurse is preparing to administer furosemide 40 mg to a patient who has been diagnosed with acute renal failure. As she carefully checks the medication and equipment, she reflects on the importance of this task and the potential impact it could have on the patient’s recovery. Furosemide, also known as Lasix, is a loop diuretic commonly used to treat fluid overload and edema in patients with heart failure, liver disease, and kidney disorders. In this case, the nurse must ensure that the correct dosage is administered safely and effectively.
The nurse begins by reviewing the patient’s medical history and current condition to understand the rationale behind the furosemide prescription. She notes that the patient has been experiencing shortness of breath, swelling in the legs, and a high blood pressure, all of which are indicative of fluid overload. The doctor has prescribed furosemide 40 mg intravenously to help reduce the excess fluid and alleviate the symptoms.
Next, the nurse checks the medication vial for any signs of tampering or expiration. She confirms that the medication is stored at the appropriate temperature and is within its expiration date. With the medication verified, she proceeds to prepare the injection.
Using a sterile technique, the nurse draws up the 40 mg of furosemide into a syringe. She double-checks the dose and ensures that the syringe is free of air bubbles. As she approaches the patient’s bedside, she explains the procedure to the patient and obtains informed consent.
Upon reaching the patient’s room, the nurse washes her hands and dons a pair of gloves. She identifies the patient by checking their name band and compares it to the medication label. The nurse then selects the appropriate vein for the injection, ensuring that it is visible and accessible.
With the needle in place, the nurse administers the furosemide 40 mg intravenously. She monitors the patient’s vital signs and reaction to the medication, looking for any signs of adverse effects such as hypotension or electrolyte imbalances. Throughout the process, the nurse maintains a calm and reassuring demeanor, providing emotional support to the patient.
After the injection, the nurse documents the administration in the patient’s medical record, including the time, dosage, and any observations made during the procedure. She also ensures that the patient’s next dose of furosemide is scheduled appropriately to maintain the therapeutic effect.
In conclusion, the nurse’s careful preparation and administration of furosemide 40 mg demonstrate the critical role that nursing plays in patient care. By understanding the medication’s purpose, ensuring its safe and effective use, and providing emotional support, the nurse contributes significantly to the patient’s recovery and overall well-being.
