Editing Reduction of Risk Potential – RN Flashcards (section)

== Monitoring and Prioritization ==

;Therapeutic response versus priority adverse effect for furosemide
:Response is weight loss, increased urine output, fewer crackles, and less edema. Adverse effects are hypokalemia, hyponatremia, hypomagnesemia, dehydration, orthostatic hypotension, and ototoxicity with rapid intravenous push.

;Most reliable measure of fluid status, and how much fluid a 1 kilogram change represents
:Daily weight, taken at the same time on the same scale after voiding in similar clothing. A 1 kilogram change corresponds to roughly 1 liter of fluid.

;Adult urine output threshold that signals inadequate renal perfusion
:Less than approximately 30 mL per hour, which should be reported.

;Key antidote pairs to know
:Heparin and protamine sulfate, warfarin and vitamin K, opioids and naloxone, benzodiazepines and flumazenil, acetaminophen and acetylcysteine, magnesium sulfate and calcium gluconate, digoxin and digoxin immune Fab.

;Earliest sign of magnesium sulfate toxicity during infusion
:Loss of the patellar deep tendon reflex, followed by respiratory depression, hypotension, and cardiac arrest. Oliguria compounds the risk because magnesium is renally excreted.

;Prioritization sequence when several clients have abnormal findings
:Airway, breathing, circulation, then neurologic change; acute over chronic; unstable over stable; unexpected over expected; and among unstable clients, the one whose problem is fastest to become fatal.

[[Category:Reduction of Risk Potential]]
[[Category:Registered Nurse (NCLEX-RN)]]
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