Case 2 Mr. PO is 72 years old, weighs 105 kg (231 lb), and measures 5'11 in. (71 in. [180 cm]). He was admitted to the hospital for the treatment of community-acquired pneumonia. His past medical history is positive for moderate heart failure. While in the hospital, Mr. PO develops atrial fibrillation, and the decision is made to treat him with digoxin to provide ventricular rate control. His serum creatinine concentration is 3.5 mg/dL and stable. Calculate an IV loading dose and intravenous maintenance dose that will achieve a Css of 1.5 ng/mL (mcg/L; 1.9 nmol/L). Case 2 follow-up Mr. PO does well on his intravenous digoxin regimen, his Css was 1.5 ng/mL. Mr. PO wants to go home, the MD asks you to convert his digoxin therapy to oral.

Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN:9781337794909
Author:Des Jardins, Terry.
Publisher:Des Jardins, Terry.
Chapter15: Hemodynamic Measurements
Section: Chapter Questions
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Case 2
Mr. PO is 72 years old, weighs 105 kg (231 lb), and measures 5 11 in. (71 in. [180 cm]). He was
admitted to the hospital for the treatment of community-acquired pneumonia. His past medical
history is positive for moderate heart failure. While in the hospital, Mr. PO develops atrial
fibrillation, and the decision is made to treat him with digoxin to provide ventricular rate control.
His serum creatinine concentration is 3.5 mg/dL and stable. Calculate an IV loading dose and
intravenous maintenance dose that will achieve a Css of 1.5 ng/mL (mcg/L; 1.9 nmol/L).
Case 2 follow-up
Mr. PO does well on his intravenous digoxin regimen, his Css was 1.5 ng/mL. Mr. PO
wants to go home, the MD asks you to convert his digoxin therapy to oral.
Transcribed Image Text:Case 2 Mr. PO is 72 years old, weighs 105 kg (231 lb), and measures 5 11 in. (71 in. [180 cm]). He was admitted to the hospital for the treatment of community-acquired pneumonia. His past medical history is positive for moderate heart failure. While in the hospital, Mr. PO develops atrial fibrillation, and the decision is made to treat him with digoxin to provide ventricular rate control. His serum creatinine concentration is 3.5 mg/dL and stable. Calculate an IV loading dose and intravenous maintenance dose that will achieve a Css of 1.5 ng/mL (mcg/L; 1.9 nmol/L). Case 2 follow-up Mr. PO does well on his intravenous digoxin regimen, his Css was 1.5 ng/mL. Mr. PO wants to go home, the MD asks you to convert his digoxin therapy to oral.
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