Question

d De limpleliented when administering a diuretic? 2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this discase. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of "skipping" heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some shortness of breath, and is placed on 2 L of oxygen via nasal cannula. (Learning Objective 1) Which of his medications might be contributing to his symptoms of generalized weakness and heart irregularities? a. b. For what clinical manifestations should you assess to correlate to his left-sided heart failure? How do his medications treat his congestive heart failure? c. d. How does the hypolalermia ffect the ffics of Digitaiset

Answer 1

1, a, Digoxin is a cardiac glycoside it treats heart failure. it produces side effects like weakness, vomiting, loss of appetite, dizziness and irregular heartbeat.
Capoten used to treat high blood pressure, it also produces the side effects of muscle weakness, slow/ irregular heartbeat.
Coreg also produces side effects of generalized weakness and irregular heartbeat, it treats heart failure.
b, Left-sided heart failure is not a disease, it is a process or disorder. Patients with left-sided heart failure will have fatigue, irregular heartbeat, cough, weight gain, nausea, swelling of ankles due to heart try to pump harder due to left ventricle weakness. patient having symptoms of fatigue and skipping heartbeat it indicates a patient having left-sided heart failure.
c, These medications increase left ventricular ejection fraction and controlling the ventricular response rate. This medicine helps remove excess fluid from the body and dilates blood vessels to do their function, it lowers the blood pressure and protects the heart from further damage.
d, when there is low blood pressure digoxin can easily bind ATPase pump make inhibitory effects. Digoxin blocks the potassium ATPase pump. when there is a low level of potassium (hypokalemia) can increase the risk of digitalis toxicity. patients will have symptoms of fatigue, nausea, vomiting, abdominal pain, etc.