Describe the interaction of digoxin, diuretics and potassium.

Describe the interaction of digoxin, diuretics and potassium.
Describe the interaction of digoxin, diuretics and potassium.
NursingRose OrtizRose Ortiz is a 72 year old widow who lives alone, although close to her daughter’s house. Ms Ortiz has mildheart failure and is being treated with:Digoxin 0.125mg PO dailyFrusemide 40mg PO dailyRestricted sodium diet (2 g per day)For the last several weeks Ms Ortiz has complained that she feels weak and sometimes faint, light-headedand dizzy. Serum electrolytes showed a potassium of 2.4 mmol/l (3.5 – 5.0 mmol/l). Slow K 2 PO daily areprescribed.AssessmentMs Ortiz’s health history reveals she has rigidly adhered to her sodium-restricted diet and has been taking hermedications as prescribed, with the exception of occasionally taking an additional ‘water pill’ when her anklesswell. She takes a laxative every evening to ensure a daily bowel movement. Ms Ortiz states she is reluctantto take the potassium prescribed because her neighbour complains that his potassium upsets his stomach.Physical assessment findings:HR 70 (regular)BP: 138/84RR: 20Temp: 36.8ocMuscle strength upper extremities: equal and normalMuscle strength lower extremities: equal with mild weaknessNo sensory deficits are apparent1. What is the pathophysiological basis for Ms Ortiz’s hypokalaemia (decreased potassium)?2. What clinical manifestations of hypokalaemia is she experiencing?Planning3. What planning should we do for Ms Ortiz? How can we advise her on her current condition –what has caused it and what she can do to avoid it in the future.Expected Outcomes4. What aims should we have for Ms Ortiz’s outcomes?Implementation5. What do we need to do to implement this plan?6. How might the chronic use of laxatives contribute to hypokalaemia?7. Describe the interaction of digoxin, diuretics and potassium.8. As the registered nurse, how do you know that the education pertaining to medication

 
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