-May cause edema, belching, gastric distention, cramps, flatulence Carvedilol Tab* 25 mg by mouth -CHF treatment grapefruit juice two times a day -Anti-HTN -Depletes -Avoid natural licorice -Non-selective Beta -Can cause weight gain, nausea/vomiting, diarrhea blocker & Alpha1 blocker Potassium Chloride Injection, 500 mL -Electrolyte -May cause GI irritation, nausea/vomiting, diarrhea, Solution 40 MEQ in Sodium intravenously -Mineral flatulence, abdominal pain Chloride 0.9% Injection Infuse over 4 Supplementation – 3 doses total -Needed due to Veteran’s drop in potassium after Kayexelate administration and diarrhea Sodium Chloride 0.9% Intravenous Bag -Electrolyte -Caution with high blood pressure, fluid retention, Injection in Normal -Mineral CHF, kidney disease, liver disease, pleural effusion Saline Supplementation 500 mL -Fluid replacement -Works to increase blood pressure Naloxone 0.4 mg/mL -Opioid -Avoid Alcohol Injection, Solution -Pain management Give Once Furosemide* 500 mg in Normal -Loop Diuretic -Depletes potassium, calcium, magnesium, sodium, Saline 50 mL -Anti-HTN thiamine, vitamin B-6, vitamin C, and zinc concentration: -To treat edema -May cause anorexia, increased thirst, oral Run at 80 mg/hr associated with CHF, irritation, cramps, nausea/vomiting, diarrhea, intravenously renal, or hepatic disease constipation Albumin 25% (Human) Injection 50 g IV Once -Anti-hypoalbuminemia -Use with caution when the following conditions Given during HD -Often indicated in are present: cardiac insufficiency, HTN, pulmonary order to correct fluid edema, esophageal varices, severe anemia, anuria
-May cause edema, belching, gastric distention, cramps, flatulence Carvedilol Tab* 25 mg by mouth two times a day -CHF treatment -Anti-HTN -Non-selective Beta blocker & Alpha1 blocker grapefruit juice -Depletes -Avoid natural licorice -Can cause weight gain, nausea/vomiting, diarrhea Potassium Chloride Injection, Solution 40 MEQ in Sodium Chloride 0.9% Injection 500 mL intravenously Infuse over 4 – 3 doses total -Electrolyte -Mineral Supplementation -Needed due to Veteran’s drop in potassium after Kayexelate administration and diarrhea -May cause GI irritation, nausea/vomiting, diarrhea, flatulence, abdominal pain Sodium Chloride 0.9% Intravenous Bag Injection in Normal Saline 500 mL -Electrolyte -Mineral Supplementation -Fluid replacement -Works to increase blood pressure -Caution with high blood pressure, fluid retention, CHF, kidney disease, liver disease, pleural effusion Naloxone 0.4 mg/mL Injection, Solution Give Once -Opioid -Pain management -Avoid Alcohol Furosemide* 500 mg in Normal Saline 50 mL concentration: Run at 80 mg/hr intravenously -Loop Diuretic -Anti-HTN -To treat edema associated with CHF, renal, or hepatic disease -Depletes potassium, calcium, magnesium, sodium, thiamine, vitamin B-6, vitamin C, and zinc -May cause anorexia, increased thirst, oral irritation, cramps, nausea/vomiting, diarrhea, constipation Albumin 25% (Human) Injection 50 g IV Once Given during HD -Anti-hypoalbuminemia -Often indicated in order to correct fluid -Use with caution when the following conditions are present: cardiac insufficiency, HTN, pulmonary edema, esophageal varices, severe anemia, anuria
allison_k_fassler_clinical_case_study.docx