Mrs. Baidoo 74year old female with history of COPD, Hypertension; Myocardial infarction, DM 2, was admitted to the medical unit of the hospital 3 days ago with pneumonia and heart failure. Upon admission, the client was having difficulty breathing and had an elevated temperature and white blood cell count. Claforan Iv was ordered to treat the pneumonia. Her weight had increased by 6 pounds in th e5 days preceding admission and she had significant swelling in her lower extremities. Mrs. Baidoo was receiving IV furosemide(Lasix) twice a day. She became very short of breath while ambulating to the bathroom. To promote rest, an indwelling urinary catheter was inserted. During the last 24 hours her condition deteriorated and she was transferred to the ICU.