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CARDIAC 54. What is the rationale for the following assessments for a patient receiving Digoxin (Lanoxin) for the management
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54, a, Apical pulse to be monitored before digoxin administration for monitoring the pulse quality, because digoxin side effects cause irregular pulse.
b, Peripheral edema if there is any peripheral vasoconstriction because digoxin cause swelling of the feet and lower legs.
c, lung sounds to detect crackles and wheezing in side effects of digoxin.
d, Daily weight because digoxin causes nausea, vomiting, and abdomen pain it reduces the patient's food intake
e, Appetite because digoxin causes side effects of low appetite.
55, therapeutic digoxin treats heart failure along with other medications and it corrects the irregular heartbeat.
56, In digoxin toxicity potassium level, will be greater than 5mEq/l
Normal potassium level is 3.5 - 5mEq/l
57, Irregular pulse, nausea, and vomiting are signs of digoxin toxicity.

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