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Discussion

Need help

hello every one,

it is one of those days. i am so stressed out i have an exam coming next thursday. please help for this question. this is like a study guide questions. looking at this guy's history i know that his vitals are normal and lab results are ok except the bun is a little bit high. in terms of the medication interactions i know that carvedilol interacts with digoxin and furosemide (diuretics.). however both digoxin and carvedilo slows av conduction. the other things are there is no information about frequency of carvedilol. is it once a day or twice? same with lisinopril no info for the route. is it given by po? i ask my instructor about it and she side it is not an error. it's for my fundamental class. please help....here is the questions.

you are caring for an 87 year old client with a history of hypertension and chronic heart failure. you are scheduled administer the following medications:

furosemide 40mg po bid his am labs are as follows

carvedilol 3.25mg po potassium: - 2.9meq/dl

lisinopril 20mg daily sodium: - 140meq/dl

digoxin 0.125mg po daily chloride: - 100meq/dl

bun:-25mg/dl

creatinine:-1.6mg/dl

vs are 102/65, p 60, r 22, t, 98.7

1) can you identify any medication interactions?

2) what do you need to do to give these medications safely?

3) there is a potential life threatening situation here. can you identify it?

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Here's a link to lab values:

http://www.medicinenet.com/electrolytes/article.htm

Potassium is low and lasix is not a potassium sparing diuretic. What can be the result of having low K+? There is a life threatening situation right there. Hint: dig with K+ value

You also need to remember that to adminster drugs safely, you must check the vitals that pertain to the drug action (eg, drugs that reduce heart rate need an apical pulse check prior to administration, BP med need a BP reading), in addition to looking for drug interactions.

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