Recognizing Potential Complications and Pharmacological Treatments in CHF

A 70-year-old patient with a history of congestive heart failure (CHF) is admitted for exacerbation due to fluid overload. The healthcare team is aware of the potential complications associated with this condition. The nurse understands that one of the critical interventions to reduce risk is to monitor for signs of pulmonary congestion.

During the assessment, the nurse notes that the patient exhibits increased respiratory rate, crackles on auscultation, and has a productive cough with pink frothy sputum. These symptoms indicate potential complications such as pulmonary edema.

The nurse should prioritize frequent assessment and vital signs, but also needs to prepare the patient for potential pharmacological interventions. It is crucial to recognize that the primary pharmacological treatment to manage pulmonary congestion in CHF is the administration of diuretics, specifically __________.