Discuss the potential problem of using these with digoxin

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Reference no: EM133858917

Case Scenario

You are working with a home care agency. One patient in your caseload is J.S., a 66-year-old man with COPD related to cigarette smoking. He has been on home oxygen, 2 L oxygen by nasal cannula, for a few years. About 5 months ago, he started on chronic oral steroid therapy. His current medications include albuterol inhaler, fluticasone/salmeterol, prednisone, digoxin, atenolol, aspirin, and furosemide.

1. Review J.S.'s list of medications. Based on what you know about the side effects of loop diuretics and steroids, discuss the potential problem of using these with digoxin.

2. Differentiate between the glucocorticoid and mineralocorticoid effects of prednisone.

3. How would your assessment change if J.S. were taking a glucocorticoid that had significant mineralocorticoid activity?

4. You plan to ask him about the presence of gastric discomfort, vision, and joint pain. Why?

You call the provider with J.S.'s assessment. The provider believes J.S. has developed Cushing syndrome and decides to change the prescription for prednisone from 10 mg daily to 10 mg given on alternate days.

Reference no: EM133858917

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