Get Answer: Kidway Arrives Emergency Question Guide

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Original Question

Mrs. Kidway arrives in the emergency room with her daughter who explains, “She was fine this morning but then this afternoon she developed terrible abdominal pain and got short of breath.” Mrs. Kidway is lethargic. Her physical examination is unremarkable except for facial grimacing when palpating her abdomen. She is afebrile with a blood pressure of 105/50, pulse 60, and respiratory rate 18. Blood work on admission reveals a digoxin level of 3.8 ng/mL. 9. What is the normal therapeutic range of serum digoxin for a client taking this medication? 10. What symptoms may be noted when digoxin levels are at toxic levels? 11. At what serum digoxin range do cardiac dysrhythmias appear and what is the critical value for adults? 12. Mrs. Kidway’s heart rate drops to 50 beats per minute. Her potassium is 2.1 mEq/L. She is given four vials of intravenous digoxin immune fab (reconstituted with sterile water) and admitted to the intensive care unit for monitoring. Discuss how her digoxin toxicity will be treated. 13. What are the two highest priority nursing diagnoses appropriate for Mrs. Kidway’s plan of care?

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