Why should the nurse assess Shirley for digitalis toxicity? List the signs and symptoms of digitalis toxicity. What is the normal blood therapeutic range of digitalis?

Why should the nurse assess Shirley for digitalis toxicity? List the signs and symptoms of digitalis toxicity. What is the normal blood therapeutic range of digitalis? y was referred to the he alth care provider because of her serum potassium deficits and ita effects on digitalis. A repeat potassium was completed, and the result was 2.8 mEg/L. A liter of 5% Dextrose in water with KCL 40 mEq was administered over four hours. 7. How many milliequivalents of KCL per hour would the patient receive? Does this amount constitute an acceptable dosage? Why is it important for the nurse to monitor the rate of intravenous fluids containing potassium, the hourly urine output, and the vital signs? 8. 9. Because of the low serum potassium level, what other electrolytes values should be fter Shirley’s serum electrolytes retuned to normal, the health care provider instructed her to 10. Shirley asks why she has to continue taking these drugs. What is the nurse’s best checked? Explain your answer. ontinue taking the prescribed KCL dosage daily with her other medications. 11. The nurse instructs Shirley to eat foods rich in potassium. Prepare a list of foods that are richest in potassium 12/18
PN 200 Fundamentals Of Nursing II pl Case Study: Heart Failure Potassium/Digoxin Shirley Trent, a 64-year-old patient, has heart failure which is being controlled with digoxin Lanoxin), furosemide (Lasix), and a low sodium diet. She is taking potassium chloride (KCL) 20 mEq per day orally. Three days ago, Shirley had flu-like symptoms such as anorexia, lethargy, and diarrhea. Her fluid and food intake was diminished; she refused to take the KCL and stated that the drug makes her sick. She has been taking the digoxin and furosemide daily The nurse’s assessment during the home visit includes poor skin turgor, poor muscle tone, irregular pulse rate, and decreased bowel sounds. The nurse obtained a blood sample for serum electrolytes: results indicated: 9 mEq/L -3.5adooh confuse 137 mEq/L 135-145 K (potassium) 2.9 mEq/L Na (sodium) eadaok
6. Why should the nurse assess Shirley for digitalis toxicity? List the signs and symptoms of digitalis toxicity. What is the normal blood therapeutic range of digitalis? Shirley was referred to the health care provider because of her serum potassium deficits and its effects on digitalis. A repeat potassium was completed, and the result was 2.8 mEq/L. A liter of 5% Dextrose in water with KCL 40 mEq was administered over four hours. 7. How many milliequivalents of KCL per hour would the patient receive? Does this amount constitute an acceptable dosage? 8. Why is it important for the nurse to monitor the rate of intravenous fluids containing potassium, the hourly urine output, and the vital signs? Because of the low serum potassium level, what other electrolytes values should be checked? Explain your answer. 9. Ater Shirley’s serum electrolytes retumed to normal, the health care provider instructed continue taking the prescribed KCL dosage daily with her other medications. 10. Shirley asks way she has to continue taking these drugs. What is the nurse’s best response? 11. The nurse instructs Shirley to eat foods rich in potassium. Prepare a list of foods that are richest in potassium. 12/18

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