Case Study Questions
This activity contains 3 questions.
Georgia Jamison is a 68-year-old female diagnosed with compensated drug failure. Her condition has been managed with digoxin 0.125 mg daily by mouth the past 3 years. She is brought to the emergency department by her daughter, who reports that Mrs. Jamison has been experiencing dyspnea on mild exertion. Mrs. Jamison confirms her daughter’s statement, and also reports orthopnea with two pillows. The nurse’s assessment findings are:
- Apical pulse 92 beats per minute, irregular; blood pressure 146/90.
- Respiratory rate 24 breaths per minute at rest, lung sounds with crackles throughout.
- 2+ pitting edema of bilateral lower extremities, pedal and tibial pulses present per Doppler.
Upon checking lab results, the Mrs. Jamison’s digoxin level is 0.12 ng/dL.
1.The healthcare provider prescribed digoxin to be given intravenously (IV). Mrs. Jamison asks the nurse why she has to have IV digoxin instead of her regular oral tablet dose. What is the nurse’s best response?
2.In addition to the digoxin, the healthcare provider also prescribes furosemide (Lasix) 40 mg intravenously every 12 hours x 4 doses. What should the nurse monitor while Mrs. Jamison is receiving these medications?
3.Two days following the digitalization therapy, Mrs. Jamison has been transitioned to oral digoxin. The nurse assesses the patient, who reports having visual disturbances. What actions should the nurse implement? What interventions can the nurse expect the healthcare provider to prescribe?
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