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Adult Health Nursing (NURS 3313 ) Sepsis Care Plan

John Marsh
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Sepsis Care Plan Adult Health

  • Kennesaw State University
  • Adult Health Nursing (NURS 3313 )

NURS 3313 Care Plan Paperwork
Medication Documentation
To be submitted with CarePlan (Do NOT put medications in DocuCare)/1 page per medication
Generic Name: Digoxin Trade Name: Lanoxin
Pharmacological Classification: Cardiac glycoside
Therapeutic Classification: Antiarrhythmic, cardiotonic
Dosage Recommended: Usual dose:
1. Calculate dose based on lean body weight (LBW), CrCl (creatinine clearance), age, as well as concomitant
disease states, concurrent medication, and other factors that may alter the effects of digoxin.
2. Adult dose: Loading dose: 0.4-0.6. mg IV or 0.5-0.75 mg PO; Maintenance dose based on serum digoxin level.
Routes of Medication: IV, PO
Is Dosage and Route Ordered Safe? X Yes  No
Mechanism of action: Include how drug is excreted:
1. Increases the force of contraction of the cardiac muscle (myocardium); when the force of contraction of the
myocardial increases, the amount of blood leaving the left ventricle of the heart at the time of each contraction or
cardiac output is increased.
2. Results are a slower, stronger beat with  cardiac output.
3. Drug is excreted in the urine.
Adverse Reactions/Side Effects (3): Most common
1. Cardiac – Bradycardia; arrhythmias
2. Gastrointestinal – Anorexia, nausea, & vomiting
3. Visual disturbances – Blurred vision, yellow or green vision, halo effect around dark objects)
Nursing Implications (3):
1. Check the apical pulse for 1 minute prior to administration of drug, if less than 60 beats/min or greater than 100
beats/min, withhold drug and notify the physician.
2. Monitor the serum potassium level, if less than 3.5 mEq/L, notify the physician of lab value.
3. Observe for signs/symptoms of digoxin toxicity: anorexia, nausea, &/or vomiting.
Indication of medication for assigned patient: PO dose order to control ventricular rate in response to persistent A-fib.
Reference(s): (in APA format)
Gahart, Betty L and Nazareno, Adrienne R. (2010). 2010 Intravenous Medications. 26th Edition, Elsevier
Mosby: St. Lewis, Missouri.
Nurse’s Drug Looseleaf. (2002). Blue: PA: Blanchard & Loeb Publishers, LLC.



Adult Health Nursing (NURS 3313 ) Sepsis Care Plan

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