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학습 자료 둘러보기 →For a patient with acute decompensated heart failure (ADHF) receiving IV furosemide, the priority nursing action after treatment initiation is to evaluate its effectiveness. The most direct method is to monitor urine output and daily weight.
A positive response to diuresis is indicated by a significant increase in urine output (e.g., >1-2 mL/kg/hr) and a corresponding decrease in daily weight, reflecting mobilization of pulmonary edema. This objective data guides further therapy decisions.
Accurate daily weight measurement requires the same scale, at the same time, with the patient wearing similar clothing. Strict intake and output (I&O) monitoring is essential; insert a urinary catheter if accurate hourly output is needed.
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