A patient states, "My ankles swell at the end of the day. My neighbor takes furosemide (Lasix) for her swelling. Would that work for me?" Which information is important for the nurse to consider when formulating a response to this question?

1. The patient is 55-years-old.
2. The patient takes lithium to control bipolar disorder.
3. The patient is allergic to sulfa drugs.
4. The patient gets a rash if given penicillin.
5. The patient uses salt substitutes.


2,3
Rationale 1: Being 55-years-old is not a contraindication to use of furosemide (Lasix).
Rationale 2: Concurrent use of furosemide (Lasix) and lithium may result in lithium toxicity.
Rationale 3: Persons who are allergic to sulfa drugs should not take furosemide (Lasix).
Rationale 4: There is no allergic cross-sensitivity between furosemide (Lasix) and penicillin.
Rationale 5: Use of salt substitutes is not contraindicated when taking furosemide (Lasix).

Global Rationale: Concurrent use of furosemide (Lasix) and lithium may result in lithium toxicity. Persons who are allergic to sulfa drugs should not take furosemide (Lasix). Being 55-years-old is not a contraindication to use of furosemide (Lasix). There is no allergic cross-sensitivity between furosemide (Lasix) and penicillin. Use of salt substitutes is not contraindicated when taking furosemide (Lasix).

Nursing

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