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You are a student nurse completing clinical shifts in an acute care facility. You are caring for a patient, José, who is a 78-year-old male patient who is experiencing HF after abdominal surgery. He has received digoxin for the past 4 days and has been progressing favourably. José is usually very alert and entertaining. He is a sports fanatic, and he especially loves football. José is taking the following medications: Enalapril 10mg PO twice a day Furosemide 20mg PO every morning Carvedilol 6.25mg PO twice a day Digoxin 0.125mg PO daily Potassium chloride (K-Dur) 10mEq tablet PO once a day 1. Review all of José’s medications. List the functional classification and mechanism of action for each drug. (5 Marks) 2. What effect does digoxin have on cardiac output? (1 Mark) 3. What effect does digoxin have on heart rate? (1 Mark) 4. List 2 important assessments you need to complete for each drug José is taking. (5 Marks) 5. List 2 common side effects and 2 life-threatening side effects for each medication. (5 Marks) 6. List 2 contraindications for each of José’s medications. (5 Marks) 7. Identify and describe any interactions between José’s current medications. (5 Marks) 8. Based on José’s current medications and the interactions noted above, would you consult the doctor? Yes or No and Explain your answer (5 Marks) 9. What is the therapeutic blood level for digoxin and when is the optimal time to draw blood to check therapeutic blood levels? (1 Mark) When you enter the room, José 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. 10. What assessments should the student nurse complete immediately? (2 Marks) 11. List the signs and symptoms of digoxin toxicity.(4 Marks). 12. What treatment is provided in the event of digoxin toxicity? (1 MarK

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