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?

Answer 1

Answer:

Which Is REQUIRED for both ANAEROBIC respiration and AEROBIC RESPIRATION? (STUDY EXPOSED!)

By Patrick Campbell, real interesting video on the HIGH BLOOD PRESSURE.

Discover the video of this study : https://youtu.be/tc_GRuOp-w0

Explanation:

Patrick Campbell explained this study and what is the best practise.

Answer 2

Answer:

A. The first action would be to check the pulse rate of the patient to make sure it’s not less than 60 beats per minute

B. There are several assessments necessary for a patient receiving this treatment and one of such will be to monitor the blood pressure

C. This depends on the route of administration but if it’s orally, Initial daily dosage should not exceed 0.125 mg. Geriatric patients require careful digoxin dosage titration because they can be more sensitive to the drug and can experience toxic reactions at dosages that are usually well tolerated in younger patients. Toxicity may occur even if serum digoxin levels appear to be within the accepted therapeutic range.

D. This can be documented using the drug chart and the patient’s file.

E. The most common changes that can be noticed are gastrointestinal which include nausea, vomiting and abdominal pain and toxicity should be suspected.