6011 response

.docx

School

William Paterson University *

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Course

6011

Subject

Nursing

Date

May 24, 2024

Type

docx

Pages

1

Uploaded by DeanWaterGorilla159

Hello, Thank you for creating and sharing this informative post with us. I will elaborate further by adding additional discussion to the points you provided. Digoxin is known to be excreted by the kidneys, which makes this medication a contraindication for patients who suffer from a history of renal impairment. Since digoxin has a narrow therapeutic window, it begins to plateau at 6 hours. Because of this, cardiovascular toxicity can manifest in 8 to 12 hours after medication administration (Andrews et al., 2023). Toxicity from digoxin medication presents itself as a complex and challenging medical emergency that requires immediate management to achieve optimal outcomes. Diagnostic testing such as an EKG and drawing a blood sample for a basic metabolic panel can be used to assess the gravity of acute digoxin toxicity (Andrews et al, 2023). Digoxin toxicity can be reversed with drug antidotes such as Digibind and Digibfab. The mode of action for these medications is by directly binding to digoxin, which helps to reduce the chances for the patient to develop ventricular arrhythmias or high-grade heart blocks (Andrews et al., 2023). Education on medication use and indications should be a priority for individuals with congestive heart failure (CHF). It is important for these patients to be appropriately educated prior to discharge on how to manage their symptoms with written materials intended for patients who must self-manage. A common reason for readmission is when a patient is unable to perform self-care of symptoms effectively, including proper medication and dietary management, or if they are unable to recognize a change in their symptoms (Lee et al., 2022). A constant need for health improvement in the progression of heart failure can negatively impact a patient’s quality of life while also burdening caregivers and family members (Lee et al., 2022). The overarching goal of transitioning patients from acute care to home care is symptom identification, management, and response once they occur. This is key to the self-management of heart failure patients in order to improve their health outcomes. References Andrews, P., Anseeuw, K., Kotecha, D., Lapostolle, F., & Thanacoody, R. (2023). Diagnosis and practical management of digoxin toxicity: a narrative review and consensus. European journal of emergency medicine: official journal of the European Society for Emergency Medicine, 30(6), 395–401. https://doi.org/10.1097/MEJ.0000000000001065 Lee, S. J., & Kim, B. H. (2022). Development of Core Educational Content for Heart Failure Patients in Transition from Hospital to Home Care: A Delphi Study. International journal of environmental research and public health, 19(11), 6550. https://doi.org/10.3390/ijerph19116550
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