A 22-year-old special-needs client comes to the ER with fever and difficulty breathing. The client weighs 66 LBS. The client is admitted with pneumonia and IV fluids, antibiotics, and respiratory treatments are started. The client is dehydrated, so she receives several bags of IV fluids over three days. On the third day, the client has worsening shortness of breath, and an X-ray is ordered which shows pulmonary edema. An echocardiogram is ordered. It shows normal cardiac function. The client is given Lasix, and the shortness of breath resolves.
Question # 3: How did the client’s size (body weight) put her at risk for pulmonary edema? (5-10 sentences)
Question # 4: How could pulmonary edema have been prevented in this client? (5-10 sentences)
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