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[Solved]: An 84-year-old client is diagnosed with heart failure…

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An 84-year-old client is diagnosed with heart failure and atrial fibrillation. The healthcare provider orders Digoxin 0.5 mg po as the digitalizing (loading) dose followed by 0.125 mg po daily. 1.To what pharmacologic and therapeutic drug classification does digoxin belong? 2.What is mechanism of action? 3.What assessment is appropriate to administration of digoxin? 4.What pulse rate would be considered bradycardia in adults __________ 5.The nurse would observe any client for toxicity. What signs and symptoms would you observe specifically with digoxin toxicity? 6. What are the therapeutic serum levels for digoxin? Why it is important to monitor these levels? 7.When digoxin is given orally, how long does it take for its onset, peak, and duration? 8.What is the half-life of digoxin? How does this relate to pharmacokinetics and drug dosage? 9. What are the precautions and concerns related to digoxin administration in the older adult. How does this relate to pharmacokinetics? 10.Identify three electrolytes that the nurse should monitor when administering digoxin. What is the normal range for these electrolytes? Why do they need to be monitored? 11.What information should be included when teaching a client or caregiver about taking digoxin as a maintenance drug.

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