The nurse should hold Lanoxin in which of these situations? Answers: A When the lab reports...

The nurse should hold Lanoxin in which of these situations?

Answers:

A When the lab reports a Digoxin level 1.2 and the client is short of breath

B When the client is confused, pallor and edematous

C When the client is pacing and very thirsty

D When the pulse is 54, and the client complains of nausea and altered vision

Expert Solution

Answer: D When the pulse is 54, and the client complains of nausea and altered vision

Explanation:

Toxicity Overdose:

Restorative serum digoxin levels extend from 0.5– 2 ng/mL. Serum levels might be drawn 6– 8 hr after a measurements is regulated, in spite of the fact that they are normally drawn quickly before the following dosage. Geri: Older grown-ups are at expanded hazard for dangerous impacts of digoxin (shows up on Beers list) because of age-related diminished renal freedom, which can exist notwithstanding when serum creatinine levels are typical. Digoxin prerequisites in the more established grown-up may change and a previously remedial dosage can wind up lethal.

Watch for signs and side effects of poisonous quality. In grown-ups and more seasoned youngsters, the principal indications of danger ordinarily incorporate stomach torment, anorexia, sickness, spewing, visual unsettling influences, bradycardia, and different arrhythmias. In babies and little youngsters, the main side effects of overdose are generally cardiovascular arrhythmias. On the off chance that these show up, withhold tranquilize and tell social insurance proficient quickly.
On the off chance that indications of harmfulness happen and are not extreme, stopping of digoxin might be all that is required.
Redress electrolyte variations from the norm, thyroid brokenness, and accompanying pharmaceuticals. Direct potassium with the goal that serum potassium is kept up in the vicinity of 4.0 and 5.5 mmol/L. Screen ECG for confirmation of potassium harmfulness (topping of T waves).
Treatment of hazardous arrhythmias may incorporate organization of digoxin insusceptible Fab (Digibind), which ties to the digitalis glycoside atom in the blood and is discharged by the kidneys.

Nightingale answered 2 years ago

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