Treating a Patient with Fluid Overload (Hypervolemia) | TMC Practice Question

Do you know how to treat a patient with hypervolemia? What are the signs of fluid overload? Watch this video for a sample TMC Practice Question.
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➡️ An adult patient with fluid overload was given a dose of furosemide intravenously. After the drug was given, the patient displayed an arrhythmia on the EKG that was not present before. Which of the following would you recommend in this situation?
A. Defibrillate the patient
B. Administer another dose of furosemide
C. Administer a dose of epinephrine
D. Check the patient’s potassium level
 
➡️ Do you know the answer?
First and foremost, you needed to know that furosemide is another name for Lasix — which, of course, is a diuretic agent that is given to patients with fluid overload. In general, you need to know that when Lasix (or any diuretic agent) is given, it's normal for the patient to excrete a large amount of potassium.

➡️ What does the patient's Potassium Level tell us?
Potassium levels are associated with the heart, so this explains why the patient has a new arrhythmia. There is no indication to give more Lasix, nor is there an indication to give epinephrine. Also, there is no indication for defibrillation either.

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🚑MEDICAL DISCLAIMER
Medicine and Respiratory Therapy are continuously changing practices. The information in this video is for educational and entertainment purposes only. For medical advice, please consult with a physician or qualified medical professional.

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⏰TIMESTAMPS
0:00 - Intro
0:23 - Practice Question
0:57 - Explanation
1:44 - Correct Answer

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