Reference no: EM133951584

Question

Jerry Stein, 65 years old, has been diagnosed with chronic heart failure (CHF). He is started on multi-drug therapy and discharged. He returns to the outpatient clinic 10 days later complaining of blurry, yellowed vision, anorexia, nausea, and "just not feeling right." Data obtained from the nursing assessment include the following: - Mild peripheral edema - Heart sounds normal, no S3 - lung sounds have a few scattered crackles but are otherwise clear. - Vital signs: temperature, 97.8; pulse, 56; respirations, 12; blood pressure, 140/90 The patient's current medication therapy includes digoxin, 0.25 mg PO qd; hydrochlorothiazide, 25 mg PO qd; and captopril, 25 mg PO tid.

1. Why is Mr. Stein on these drugs?

2. Are there any contraindications or precautions that would eliminate the use of these drugs?

3. What patient variables are most important to consider for Mr. Stein when assessing his drug therapy?

4. Are there any aspects of digoxin's core drug knowledge that are especially relevant to consider because they may interact with the core patient variables?

5. With findings from the nursing assessment demonstrate the effectiveness of drug therapy?

6. Which findings from the nursing assessment demonstrate possible adverse effects from drug therapy?

7. What actions are indicated to maximize the adverse effects of digoxin?

8. What teaching is required for Mr. Stein regarding his drug therapy? Do you need any additional data to determine appropriate teaching?