Family Nurse Practitioner Exam

In what clinical situation would you indicate the use of Furosemide (Lasix)?

1. Management of chronic pain

2. Relief of pulmonary edema

3. Reduction of anxiety symptoms

4. Treatment of bacterial infections

The correct answer is: Relief of pulmonary edema

Furosemide, commonly known as Lasix, is a potent loop diuretic primarily used to manage fluid overload conditions. One of the most critical clinical situations for its use is the relief of pulmonary edema, which occurs when excess fluid accumulates in the lungs. This can happen in various circumstances, such as heart failure, renal failure, or other conditions that cause fluid retention. When pulmonary edema occurs, the patient may experience symptoms like shortness of breath, coughing, and decreased oxygenation due to fluid in the alveoli. Furosemide works by inhibiting sodium and chloride reabsorption in the kidneys, leading to increased urine output and, consequently, a reduction in fluid overload. This diuretic effect helps to decrease the fluid levels in the lungs, alleviate respiratory distress, and improve the overall oxygenation of the patient. In contrast, the other options presented do not appropriately correspond with the therapeutic uses of Furosemide. Chronic pain management, anxiety symptoms, and bacterial infections require different treatment strategies and medications tailored to those conditions. Understanding the specific applications of Furosemide helps clarify its role in managing conditions associated with fluid buildup, particularly pulmonary edema.