Paracetamol does not react adversely with the other drugs being taken by Mrs A, however her dose must be monitored and adjusted according to need. Evaluation This is a systematic process for determining the effectiveness of nursing care. Assessment The nurse focuses on direct data collected by: Over the last two to three months Mrs A has become confused, easily fatigued and very irritable.
Has no significant anti-inflammatory effect. The most noticeable is her use of frusemide with digoxin.
Hypokalemia low potassiumfluid and electrolyte imbalances. Antacids — decreased absorption of oral digoxin. Mylanta also being taken by the patient can suppress the effectiveness of digoxin however in this case the digoxin dose is so high that Mylanta would be having a minimal impact.
Hypertension — adults 40 mg P. Introduction In analyzing the case study of Mrs A, a number of factors come into play.
This is causing symptoms of digoxin poisoning. Diuretics — hypokalemia, predisposing patient to digitalis toxicity.
No reason is evident in the case study as to why she should require a stool softener. Adjust dose according to response. Frusemide is known to increase digoxin sensitivity.
Detailed questioning revealed that she thought they were yellow-green and possibly mouldy. If desired, the dose may be divided. Moreover, a high potassium diet may help reduce potassium loss and the risk of hypokalaemia whilst eliminating the need for potassium supplements.
Watch for signs of hypokalemia for example fatigue, muscle weakness and cramps.
Check for symptoms of toxicity. Monitor serum potassium level.Pharmacology Case Study Workbook and millions of other books are available for Amazon Kindle. Learn more Enter your mobile number or email address below and we'll send you a /5(5).
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Start studying Pharmacology Test 1 Case Studies. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Online shopping from a great selection at Books Store. Provides nursing students with an opportunity to apply pharmacology concepts to real-world situations - written by a distinguished nursing professional with over 25 years of experience.
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