Question

please provide me following answers for casestudy above. 2 Cases: Digoxin and Amiodarone Jose is a 78 yr-old male patient who is experiencing HF after abdominal surgery. He has received digoxin for the past 4 days and has been progressing favourably. Jose is usually very alert and entertaining. He is a sports fanatic, and he especially loves football. When the nurse enters the room, the patient is watching a football game on television. The patient asks, “Why are those guys hitting each other and falling on the ground?” The patient is also confused as to the date and his location. On examination, his vital signs are within the normal limits except for his blood pressure, which is 154/94mmHg in his left arm. The second measurement is 150/92mmHg and the final measurement 152/96mmHg. He is 5 feet 4 inches tall, his weight is 75kg and his oral temperature is 98.2 degrees Fahrenheit. 1. Convert Jose's height into centimeters, weight into pounds and temperature into Celcius. 2. What does the nurse suspect is the cause of the sudden onset of confusion? 3. What laboratory tests does the nurse expect to be ordered? What outcome does the nurse expect? 4. What treatment option does the nurse expect to administer? Amad came to ED with shortness of breath, palpitations, and dizziness. He is connected to the cardiac monitor and has the rhythm noted above. Identify the rhythm and top nursing priorities. 5. What is this dysrhythmia, and what is your biggest concern? 6. What is the evidence-informed treatment to save Amad’s life? 7. The nurse knows that amiodarone is a very toxic drug and has significant interactions with other drugs. As the nurse prepares to give Amad’s digoxin and warfarin, what should he or she be aware of before administer?

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Answer 1

Answer 1.Jose's height in centimeters:- 1 feet have 30.48 centimeters

So, 5 feet 4 inches in centimeters become 5.4x 30.48; 162.59cms.

Jose's weight in pounds:- To convert weight in kg into pounds, multiply the mass by 2.205

So, the weight in pounds is 75 x 2.205, ; 165.15 pounds.

Jose's temperature in into Celsius:-

To convert degree Fahrenheit into degree Celsius, formula is

(Degree Fahrenheit-32) x 5/9= degree Celsius

So the answer is (98.2-32) x 5/9 ; 36.78 degree Celsius.

Answer 2. The medicine Digoxin after heart failure is being taken by Jose from few days. There are some side effects of this medicine which include dizziness, mental disturbances, etc, which could be the possible reason for his condition of confusion as supposed to be judged by the nurse. Other possible reasons could be after effects of anaesthesia, or any kind of infection.

Answer 3. The laboratory test must include all blood tests so as to check any kind of infections or anemic conditions, etc. The outcomes expected are the reason behind the medicine's side effects or other mental health issue because other vitals are normal in his case.

Answer 4. The treatment should be in purpose of changing his medications and monitoring more of his brain activities. Also considering the blood test reports, the effective reason to be sorted out.