Question

i need help with 4, 5, 6,and 8 please

PN 105 Fundamentals of Nursing I per day and hyears of age has had vomiting and diarhea for two days. He is on digoxin 0.25 me 50 mg per day. He complains of being dizzy. His blood er than usual. His serum potassium level is 3.2 mEq. The nurse assesses Diuretics/Hypokalemia JS 72 years of age has Perietalsisis dimins are weak and faby, his abdomen is distended, and of hypokalemia and note those that the patient its s physical status and note 1. What are the si symptoms demonstrating. patse ot d iont hea 2. What contri tors caused JS's e imbalance? 3. What interventions should be 4. Descri relatiónship of hspokalemia, digoxin and hydrochlorothiazide and why this is serious for this patient? JS is ordered IV infusions of 1 L of D5%W with 30 mEq of potassium chloride and i L of 5%D45%NS. He is also prescribed oral KCL 15 mEq, three times per day for 2 days. Oral KCL is available in 15mEq/10ml Explain the method for diluting KCL in Ⅳ fluids. Can KCL be given IM? SQ? Ⅳ push? Explain your rationale for your answer 5. 6. What instructions should the nurse give JS for taking oral potassium supplements? What happens if JS urine output decreases while he is receiving IV fluids and oral potassium? What would be the nurse's responsibility? 7. 8. Because JS is taking a diuretic and digoxin, what should the nurse include in her teaching plan being sure to state your rationale? Reviewed 9/18

Answer 1

Digoxin is a drug which gives positive ionotropic effect it acts on the ATP bind by infusing calcium in to the myocardium which helps in the contractility of the heart .

A digoxin level of 0.3-2.6 is considered as therapeutic value anything above leads to digoxin toxicity.

During hypokalemia the inhibitory effect of digoxin is increased because it acts at the ATP bind exactly at the site of potassium so when postassium is low digoxin increases its inhibitory effect which can lead to arrythemias and sometimes death

Hydrochlorothiazide is a potassium sparing diuretic which has a serious interactions with digoxin increases the risk of hospitalizations digoxin toxicity

Potassium chloride should be administered IV diluted in a solvent infused over a particular time .this explains that it cannot be administered IM or SQ because a large quantity of medication cannot be administered SC or IM .giving Potassium IV push leads to the client recieving too much potassium suddenly which leads to increase contractility of heart arrythemia and death

The nurse instruct the client to always dilute oral potassium in water before consuming .she should instruct the client to dilute 10ml of oral motassium in 100ml if water before consuming.