Address digoxin administration in relation to the case


Task Description: Evaluate a case scenario and NIMC documentation and create a 5-minute video addressing concerns about digoxin administration in relation to the case. Case scenario It is 6 th September at 0900 hours. You are caring for Mr Joe Haldeman, aged 65 years. Mr Haldeman presented to the emergency department (ED) at 1400 hours yesterday with sudden onset of palpitations and severe dizziness. He has reported having diarrhoea for 3 days (his last bowel action was 1900 hrs 5th September). An ECG revealed atrial fibrillation (AF) at 158 bpm and he was placed on cardiac monitoring. He was commenced on a loading dose of digoxin (see NIMC). Mr Haldeman was given the first two doses of digoxin in the ED and arrived on your ward in a monitored bed at 0600 hours this morning. He remains in AF. Mr Haldeman has a past history of hypertension (12 years), type 2 diabetes (10 years), and irritable bowel syndrome (IBS; 5 years). He is prescribed Diltiazem CD 180mg and Teltartan HCT 40/12.5 2 for his hypertension, Metformin XR 500 mg for his diabetes, and a probiotic for his IBS. Joe had a set of blood pathology taken this morning at 0800 hrs (see Blood Pathology chart for results). Joe is currently reporting nausea and loss of appetite. His vital signs and BGL at 0830 hrs were: HR - 86 bpm (irreg) RR - 14 bpm SpO2 - 97% RA BP - 108/70 mmHg Temp - 37.1 ºC BGL - 14.4 mmol/LCreate a 5-minute video presentation addressing the task. Your task: Inform the medical registrar regarding your concerns about administering the Digoxin. Your video should commence as you introduce yourself to the medical registrar. 2) Script You are required to upload a written version of your script in word doc format. This provides you with an opportunity to use Turnitin to check for any anomalies (e.g. plagiarism) prior to submission. 3) Reference list A written reference list in word doc format, adhering to APA7 guidelines. The reference list can be placed at the end of the written script.

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