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What am I supposed to do if Mom's weight is up 3 pounds overnight?

q040 questions.yaml · questions.yaml:416 documentsfiles

Question

What am I supposed to do if Mom's weight is up 3 pounds overnight?
A good answer

Give one extra furosemide 20 mg tablet that day and call Sourwood Heart & Vascular the same day, (423) 555-0176; not more than two days in a row without talking to the office. The same applies to 5 lb in a week. Her dry weight is 148 lb. It is one sentence on page 5 of the ten-page January 2025 discharge packet, and nowhere else.

20 mg

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Supporting records

The records the answer rests on, from from, with whose they are.

Whose: Mom (document_subject)
folderfolder-mom-medical
aboutlorraine
nameWhitlow discharge packet Jan 2025
created2025-01-25 10:10
Traps it covers

only_in_file The extra-furosemide rule, one sentence on page 5 of the ten-page January 2025 discharge packet (one extra 20 mg tablet for a gain of 3 lb in a day or 5 lb in a week, call cardiology the same day, not more than two days running); the POA clause that lets Walt sell her house only after a physician's written statement and 30 days' notice to Russ; the principal balance on the September 2026 mortgage statement ($171,717.32); the memory test score (19 of 30); next year's drug plan premium ($46.20); the long-term-care daily benefit ($150); the 401(k) balance ($318,406.12 on June 30, 2026); every number on the September labs, which exist only as a portal screenshot (eGFR 33, A1c 7.9); the wind and hail deductible on Walt's house ($3,180); the owner and the title number on the Buick's title, which is a scan with no text (WALTER E PRUITT, 14 177 406219, no lien); the FMLA entitlement (480 hours for 2026); the lease clause that makes renter's insurance a condition, with $15 a month charged until proof is given; what Gentle Ridge has billed this year ($17,284.00 through September); mortgage interest paid in 2025 ($6,912.51); Camille's immunization dates.

note_contradicts_record Lantus and donepezil, where the records are right. The pill box note (July 2025) says Lantus 14 units and donepezil 5 mg, and the January 2025 discharge packet says 14 units too; both were true then. The prescription records say 18 units and 10 mg. Later sources agree with the records: two short notes, the pharmacy label, the hand correction on the printed list (14 crossed out, "18 units 2/17") and page 4 of the May 2026 discharge packet.

note_contradicts_record Her allergies are in many places and not in the same words. Penicillin and sulfa are in all of them: the 2023 note, both discharge packets, the 2023 summary, the printed list, a note and a journal entry from May 2026. Codeine, oxycodone and lisinopril are intolerances in his note and on the hospital's sheets. The May 2026 face sheet also lists latex. His 2023 note says "no latex" and a note of May 22, 2026 says the hospital's entry is wrong and that he means to have it removed; nothing shows that it was. He is right, but an answer should give penicillin and sulfa as certain and report the latex entry as disputed.