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Read the case study and complete your research before beginning this activity.<\/p>\n"},"progressType":"dots","passPercentage":100,"questions":[{"library":"H5P.DragText 1.10","params":{"media":{"disableImageZooming":false},"taskDescription":"

Patricia (she\/her) is an alert 75-year-old living in a retirement home. Today, Patricia is transferred to hospital. Nursing assessment: (subjective) severe shortness of breath and weight gain of 5kg over 3 weeks; (objective) pulse 100 bpm, B\/P 150\/90, respirations 30 bpm. She is diagnosed with heart failure and given furosemide 80 mg PO stat. Drag the words into the correct boxes<\/strong><\/em><\/p>\n","overallFeedback":[{"from":0,"to":100}],"checkAnswer":"Check","submitAnswer":"Submit","tryAgain":"Retry","showSolution":"Show solution","dropZoneIndex":"Drop Zone @index.","empty":"Drop Zone @index is empty.","contains":"Drop Zone @index contains draggable @draggable.","ariaDraggableIndex":"@index of @count draggables.","tipLabel":"Show tip","correctText":"Correct!","incorrectText":"Incorrect!","resetDropTitle":"Reset drop","resetDropDescription":"Are you sure you want to reset this drop zone?","grabbed":"Draggable is grabbed.","cancelledDragging":"Cancelled dragging.","correctAnswer":"Correct answer:","feedbackHeader":"Feedback","behaviour":{"enableRetry":false,"enableSolutionsButton":false,"enableCheckButton":true,"instantFeedback":false},"scoreBarLabel":"You got :num out of :total points","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again.","textField":"Furosemide (Lasix) is a *loop* class of diuretic. This class of diuretic blocks *chloride & sodium* from being reabsorbed in the kidney. These drugs are chosen when *rapid* fluid loss is needed. \nThe peak concentration of this drug occurs around *1-2 hours*, when taken orally. The major complication with this type of diuretic is *electrolyte disturbance*. \nThe nurse is careful to ask about Patricia's drug allergies before administering furosemide because this class of diuretic has a cross-sensitivity with *sulfonamide* based antibiotics.","distractors":"*potassium-sparing**6-8 hours**hypertension**penicillin*"},"metadata":{"title":"Drug Class: Diuretics","license":"U","defaultLanguage":"en","contentType":"Drag the Words"},"subContentId":"14411a2a-1653-4896-9497-a1b8562054cc"},{"params":{"media":{"disableImageZooming":false},"taskDescription":"

It is 24 hours since Patricia's admission. She has been started on furosemide 20mg PO once daily. Drag the words into the correct boxes<\/strong><\/em><\/p>\n","overallFeedback":[{"from":0,"to":100}],"checkAnswer":"Check","submitAnswer":"Submit","tryAgain":"Retry","showSolution":"Show solution","dropZoneIndex":"Drop Zone @index.","empty":"Drop Zone @index is empty.","contains":"Drop Zone @index contains draggable @draggable.","ariaDraggableIndex":"@index of @count draggables.","tipLabel":"Show tip","correctText":"Correct!","incorrectText":"Incorrect!","resetDropTitle":"Reset drop","resetDropDescription":"Are you sure you want to reset this drop zone?","grabbed":"Draggable is grabbed.","cancelledDragging":"Cancelled dragging.","correctAnswer":"Correct answer:","feedbackHeader":"Feedback","behaviour":{"enableRetry":false,"enableSolutionsButton":false,"enableCheckButton":true,"instantFeedback":false},"scoreBarLabel":"You got :num out of :total points","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again.","textField":"The nurse examines Patricia's lab values. Patricia's BUN is 9.6 which indicates *normal* kidney function. Next the nurse measures Patricia's *weight* as this is the most accurate method of determining fluid loss\/gain. Finally, the nurse checks Patricia's *intake & output* from the previous shift, to determine her 24 hour fluid balance. \nPatricia has a slightly higher output than intake, which is an *expected* finding with this drug regimen.\nThe nurse examines Patricia's blood pressure, lying, sitting, & standing because of the risk of *orthostatic hypotension* with this type of diuretic.","distractors":"*high**skin turgor**unexpected**hypertension*"},"library":"H5P.DragText 1.10","metadata":{"contentType":"Drag the Words","license":"U","title":"Assessment"},"subContentId":"6425e8e7-6fd1-4f06-8f98-33169e4980d3"},{"params":{"media":{"disableImageZooming":false},"taskDescription":"

It is 4 days since Patricia's admission, and she has been taking furosemide 20mg PO once daily. Her current lab results are Sodium 140 mmol\/L, Potassium 2 mmol\/L, & Creatinine 50 micromol\/L. The doctor adds Micro-K 8 mEq per tablet PO once daily to her medication regimen. Drag the words into the correct boxes<\/strong><\/em><\/p>\n","overallFeedback":[{"from":0,"to":100}],"checkAnswer":"Check","submitAnswer":"Submit","tryAgain":"Retry","showSolution":"Show solution","dropZoneIndex":"Drop Zone @index.","empty":"Drop Zone @index is empty.","contains":"Drop Zone @index contains draggable @draggable.","ariaDraggableIndex":"@index of @count draggables.","tipLabel":"Show tip","correctText":"Correct!","incorrectText":"Incorrect!","resetDropTitle":"Reset drop","resetDropDescription":"Are you sure you want to reset this drop zone?","grabbed":"Draggable is grabbed.","cancelledDragging":"Cancelled dragging.","correctAnswer":"Correct answer:","feedbackHeader":"Feedback","behaviour":{"enableRetry":false,"enableSolutionsButton":false,"enableCheckButton":true,"instantFeedback":false},"scoreBarLabel":"You got :num out of :total points","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again.","textField":"The nurse identifies that Patricia's *potassium* is below normal range. This adverse effect is *common* when taking loop diuretics. The nurse informs the doctor using an SBAR. The doctor orders *potassium* to be administered orally along with the furosemide.","distractors":"*sodium**rare*"},"library":"H5P.DragText 1.10","metadata":{"contentType":"Drag the Words","license":"U","title":"Implementation"},"subContentId":"871a73ad-0660-4a5a-98f0-d30fa26abc62"},{"params":{"media":{"disableImageZooming":false},"taskDescription":"

Patricia responds well to treatment and returns to her retirement home with a new prescription for the following drugs: furosemide 20 mg PO daily qAM and Micro-K 8 mEq per tablet PO once daily. Drag the words into the correct boxes<\/strong><\/em><\/p>\n","overallFeedback":[{"from":0,"to":100}],"checkAnswer":"Check","submitAnswer":"Submit","tryAgain":"Retry","showSolution":"Show solution","dropZoneIndex":"Drop Zone @index.","empty":"Drop Zone @index is empty.","contains":"Drop Zone @index contains draggable @draggable.","ariaDraggableIndex":"@index of @count draggables.","tipLabel":"Show tip","correctText":"Correct!","incorrectText":"Incorrect!","resetDropTitle":"Reset drop","resetDropDescription":"Are you sure you want to reset this drop zone?","grabbed":"Draggable is grabbed.","cancelledDragging":"Cancelled dragging.","correctAnswer":"Correct answer:","feedbackHeader":"Feedback","behaviour":{"enableRetry":false,"enableSolutionsButton":false,"enableCheckButton":true,"instantFeedback":false},"scoreBarLabel":"You got :num out of :total points","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again.","textField":"Prior to discharge the nurse provides Patricia health teaching about her new drugs and drug regimen. \n- The nurse recommends Patricia take her diuretic in the *morning* to avoid nocturia. \n- The nurse says that Patricia must make sure to ensure adequate *fluid* to avoid dehydration.\n- The nurse recommends Patricia get her lab value for *potassium* checked every 3 months.\n- The nurse reminds Patricia that a common side effect of diuretic therapy is *dizziness* and to change position slowly to reduce this. Patricia should also avoid "hot" environments while on this therapy, to reduce her risk of *hypotension*.\n- The nurse instructs Patricia to contact her family doctor if she experiences excessive *weakness or muscle aches* as this may indicate *electrolyte imbalance*.","distractors":"*evening**hyperkalemia**sodium**hypertension**sleepiness**cold*"},"library":"H5P.DragText 1.10","metadata":{"contentType":"Drag the Words","license":"U","title":"Health Teaching"},"subContentId":"bcd8125c-7200-40a9-bde5-52416883ac16"},{"params":{"media":{"disableImageZooming":false},"taskDescription":"

During Patricia's follow-up appointment, she informs the nurse she is taking an over-the-counter NSAID, aspirin (acetylsalicylic acid) 650 mg PO TID for arthritis. It is very effective and is reducing her arthritic pain. Drag the words into the correct boxes<\/strong><\/em><\/p>\n","overallFeedback":[{"from":0,"to":100}],"checkAnswer":"Check","submitAnswer":"Submit","tryAgain":"Retry","showSolution":"Show solution","dropZoneIndex":"Drop Zone @index.","empty":"Drop Zone @index is empty.","contains":"Drop Zone @index contains draggable @draggable.","ariaDraggableIndex":"@index of @count draggables.","tipLabel":"Show tip","correctText":"Correct!","incorrectText":"Incorrect!","resetDropTitle":"Reset drop","resetDropDescription":"Are you sure you want to reset this drop zone?","grabbed":"Draggable is grabbed.","cancelledDragging":"Cancelled dragging.","correctAnswer":"Correct answer:","feedbackHeader":"Feedback","behaviour":{"enableRetry":false,"enableSolutionsButton":false,"enableCheckButton":true,"instantFeedback":false},"scoreBarLabel":"You got :num out of :total points","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again.","textField":"When NSAIDs are taken with loop diuretics, diuretic activity will be *decreased*. This means that the furosemide will have *less* diuretic effect. The nurse should assess for signs of *edema* indicating fluid retention.","distractors":"*increased**more**hypotension*"},"library":"H5P.DragText 1.10","metadata":{"contentType":"Drag the Words","license":"U","title":"Clinical judgment"},"subContentId":"9213a697-fd3d-4ec0-a03a-4fe8cc564f91"}],"disableBackwardsNavigation":false,"randomQuestions":false,"endGame":{"showResultPage":true,"showSolutionButton":true,"showRetryButton":true,"noResultMessage":"Finished","message":"Your result:","scoreBarLabel":"You got @finals out of @totals points","overallFeedback":[{"from":0,"to":100}],"solutionButtonText":"Show solution","retryButtonText":"Retry","finishButtonText":"Finish","submitButtonText":"Submit","showAnimations":false,"skippable":false,"skipButtonText":"Skip video"},"override":{"checkButton":false},"texts":{"prevButton":"Previous question","nextButton":"Next question","finishButton":"Finish","submitButton":"Submit","textualProgress":"Question: @current of @total questions","jumpToQuestion":"Question %d of %total","questionLabel":"Question","readSpeakerProgress":"Question @current of @total","unansweredText":"Unanswered","answeredText":"Answered","currentQuestionText":"Current question","navigationLabel":"Questions","questionSetInstruction":"Choose question to display"}}

Case Study: CVS drugs

Description

Ontario Commons License

Julian Faulkner