Question

2. Ms Penny is a 69-year-old female with congestive heart failure. Her activity level and her energy level were declining over the past four weeks. She is mildly short of breath while performing her house chores. The cardiologist just added Digoxin 0.125 mg to her drug regimen. This is your first time administering this medication to Ms Penny. a) What would be your first action? b) Is there any specific assessment required for this type of medication, if so what is it? c) What dose would you administer and why? d) How would you document this episode? e) Three weeks later you return to Ms Penny's house. What, if any, changes are you expecting to see?

this is nursing care plan. please I want it typed thanks.

Answer 1

1. Asses the patient PR(pulse rate ) before taking digoxin if PR <60 withhold medication and inform physician.
2. Yes, check the s. electrolytes ie hypokalemia, hypercalcemia and hypermagneemia increased the risk of digoxin toxicity. It is a life threatening condition. Also check whether patient taking diuretics, antidiarrheal drugs which causes hypokalemia.
3. Administration of one half of total dose initially then one fourth of total dose every 6-8hours for 2doses.
4. 0.0625 mg initial dose and 0.03125 every 6-8hours for two dose.
5. This improve hearts ability to pump blood and improve symptoms such as shortness of breath.