oxen 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 favorably. 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 administration?