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Original Question

Please read the following disease-centered medication case study, and provide answers to the questions. Meet your patient, Mrs. Johnson Mrs. Johnson is a 79-year-old widow who has lived alone for the past 5 years. Three years ago she was hospitalized for an MI, which resulted in heart failure. She is compliant with her medications, which include digoxin (Lanoxin) 0.125 mg daily, furosemide (Lasix) 40 mg daily, and potassium (K-Dur) 20 mEq daily. Recently Mrs. Johnson ran out of her potassium and thought that because it was “just a supplement,” it would be OK to go without it until the next time she went to town to fill the prescription. She has not taken her potassium for a week. Today she comes into the clinic with generalized weakness, fatigue, nausea, and diarrhea. Her BP is 104/62, pulse 98 bpm and slightly irregular, RR 20, and temp 97.2 F. Blood is drawn and shows serum sodium level of 150 mEq/L, digoxin level of 2.6ng/ml, and potassium level of 3.2 mEq/L. 1. What assessments should a nurse do before and after administering a diuretic? 2. What are the signs and symptoms of digoxin toxicity? What can happen to a patient who has toxic levels of digoxin? 3. What is the normal range for serum potassium level? 4. What classification of medication is furosemide (Lasix)? 5. Is dehydration a risk for patients on furosemide (Lasix)? Why or why not? 6. How would you assess for dehydration? 7. What electrolyte imbalance(s) can occur in patients taking furosemide (Lasix)? 8. What relationship exists between this patient’s furosemide, digoxin, and potassium levels? Please include all your discussions and answers in both Disease-Centered Medication Case Study & Weekly Practice Discussion with references IN ORDER TO RECEIVE YOUR DISCUSSION CREDITS. Those references must be obtained from either peer-reviewed nursing journals or medical journals. You may also use your text books for references. Please provide references that are less than 5 years period.

 
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