on was hospitalized today for heart failure. The physician orders a loading dose of digoxin 0.75 mg to be given intravenously. The digoxin is available in a solution of 0.5 mg/mL. (Learning Objectives 2, 4, 6) 1. How many milliliters should the nurse prepare? 2. What should the nurse do before administering the IV dose? 3. If digoxin toxicity develops, what signs or symptoms might Mr. Jackson have? 4. How often should Mr. Jackson be monitored for signs of digoxin toxicity? 5. What conditions might increase Mr. Jackson’s likelihood of exhibiting digoxin toxicity?.
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Mr. Jackson was hospitalized today for heart failure. The physician orders a loading dose of digoxin 0.75 mg to be given intravenously. The digoxin is available in a solution of 0.5 mg/mL. (Learning Objectives 2, 4, 6) 1. How many milliliters should the nurse prepare? 2. What should the nurse do before administering the IV dose? 3. If digoxin toxicity develops, what signs or symptoms might Mr. Jackson have? 4. How often should Mr. Jackson be monitored for signs of digoxin toxicity? 5. What conditions might increase Mr. Jackson’s likelihood of exhibiting digoxin toxicity?.
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- nursing assessment. Please Give possible explanation why the American Heart Association recommend the use of canola oil or olive oil rather than coconut oil in cooking.Assessment NURSING drug; mpg insulin 100 units per vial Dose orders; 10 units dose on hand; 100 units/ per vial. Give ( use insulin syringe) - _ units. If there is no insulin syringe, use 1 cc syringe. how many cc of insulin would you give..NEED HELP WITH #6 N.R. is a 49-year-old lumber worker admitted to the emergency department after a severe laceration of his left thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. He received several hundred milliliters of normal saline during the procedure. Postsurgical clinical data are as follows: vital signs lying down, HR 115, BP 98/60, RR 28; sitting, HR 140, BP 92/62, RR 28; Hct 22, Hb 8, PaO2 90, SaO2 98% breathing room air. N.R. continues to have significant oozing from his sutured wound postoperatively, prompting his physician to order a coagulation screen that has the following results: platelet count 250,000, bleeding time more than 10 min, PT and aPTT within normal ranges. Discussion Questions In view of N.R.’s history and vital signs, do you think he is hypovolemic? Support your conclusion. Calculate N.R.’s arterial oxygen content (CaO2) using the following formula: CaO2 = (PaO2 × 0.003) + (Hb × SaO2 × 1.34). What…
- All questions answered give in detail....Questions for the Case Study:1. Make a table of the medications prescribed to the patient. Include the indication, mechanism of action, standard dose, and frequency. 2. Analyze the case and identify the adverse reaction/s that occurred. What type of ADR happened? 3. What should be done to avoid the type of adverse reaction that happened to the patient?Case study Analysis: The nurse is completing the admission assessment for a patient scheduled for cataract surgery in the outpatient center. Having cataract can be common during old age. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history. What questions should the nurse include in the medication history? Discuss. 2. How does aging affect drug absorption, metabolism, distribution, and excretion? Explain.
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- Signature Assignment: End Stage Kidney Disease Case Analysis The goal of this assignment is to show that you understand the importance of the liver, pancreas, and kidneys in the proper functioning of the human body. Sarah, a 63-year-old female with a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history, presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Her recent laboratory results are as follows: CBC Sodium 126 mEq/L Glucose 220 mmol/L Calcium 7.1 mg/dl Red blood cell count 3.9 cells / ul…Case Study Identifying Intravenous Delivery Systems, Administration Method, Infusion Rate, Stability/Compatibility, and Labelling of an Intravenous Admixture Mr. Blair, a 75-year-old man weighing 60 kg, was admitted to the Gastroenterology Unit of the Miracle Hospital with severe diarrhea due to food poisoning. After examining Mr. Blair, Dr. Clark ordered IV fluids of D5W 1000 mL q12h, for the next three days with added electrolytes, such as potassium, sodium, calcium, and magnesium, since Mr. Blair was severely dehydrated. In addition, suspecting Salmonella poisoning, Dr. Clark prescribed Septra, 500 mg IV q12h, to be mixed in the D5W electrolytes fluid admixture. What considerations must be taken into account prior to admixing this order? (NAPRA 6.1, 6.2, 8.3, 9.2) 2.If the drug is determined to be incompatible with D5W and electrolytes, what IV delivery system and/or administration method would you use to administer the medication? (NAPRA 2.3, 6.1, 6.2, 8.3, 9.2)…Case Study 3 – Congestive Heart Failure Dottie is a 78-year old CHF patient. She has been exercising with your facility for several years now. She had a CABGx3 in 2020. She came in today with a 5 lb. weight gain since yesterday when she weighed on her home scale this morning. Her meds include- Lipitor, Procardia, and Lasix. (Cholesterol, Calcium channel blocker Hypertension, and Diuretic, respectively) Her blood pressure is 132/88 and her HR = 102; Her weight is 196, up from 191 when last measured. She is a pleasant, overweight individual who enjoys walking on the treadmill and visiting with other members of your facility. 1. What are specific considerations for someone with CHF and exercise? How is the exercise prescription any different from the apparently healthy adult prescription? 2. What is your biggest concern with Dottie today and how would you handle this concern(s)?