CASE STUDY PROGRESS
You complete your assessment of G.S. You note she is
dyspneic and has fine crackles throughout all lung fields
posteriorly and in both lower lobes anteriorly, and coarse crackles
over the large airways. She has O2 on at 2 L
per nasal cannula and her Spo2 is 94%.
8. What is the significance of the fine and coarse
crackles?
9. The nurse from the previous shift charted the following
statement: “Fine and coarse crackles that clear with vigorous
coughing.” Based on your knowledge of pathophysiology, determine
the accuracy of this statement.
10. It is time to administer scheduled furosemide (Lasix) 60 mg intravenous push. What effect, if any, should furosemide have on G.S.’s breath sounds?
11. What action do you need to take before giving the furosemide?
Chart View
Laboratory Results
Sodium
129 mEq/L (129 mmol/L)
Potassium
3.0 mEq/L (3.0 mmol/L)
Chloride
92 mEq/L (92 mmol
HCO3
26 mEq/L (26 mmol/L)
BUN
37 mg/dL (13.2 mmol/L)
Creatinine
2 mg/dL (177 mcmol/L)
Glucose
128 mg/dL (7.1 mmol/L)
Calcium
7.1 mg/dL (1.8 mmol/
8, when the airway is narrow due to mucous or fluid air being
forced through the airway, that time fine and coarse crackles sound
can be heard it occur during inspiration. fine crackers heard
during late inspiration and coarse crackles during early
inspiration. it was lounder, low pitched and long-lasting.
9, cough clear up the throat and clear the mucous and fluid from
the airway. coughing change or clear the quality of coarse
crackles. cough help to disappear fine and coarse crackles.
10, Furosemide relieve dyspnea. it lessens the excess fluid in the
lungs and relives dyspnea. so there is no abnormal breath sounds
and it clear fine and coarse crackles.
11, Monitor patient liver, kidney function, and serum electrolyte,
uric acid, and serum glucose level. Assess patient vital signs and
weight and intake and output before administering furosemide.
CASE STUDY PROGRESS You complete your assessment of G.S. You note she is dyspneic and has...
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