Monitoring for therapeutic blood levels of medications is important in the care of the older adult. Discuss the medications this patient is taking (digoxin, warfarin, opioids, and ibuprofen) and the laboratory orders the nurse would expect to monitor.

A

Being common in older adults, drug-related problems may include adverse drug effects and drug interactions. This may be explained by changes in pharmacodynamics and pharmacokinetics of medications due to aging. Blood levels of drugs may even rise to toxic levels, which is why it is important to consider the medications the patient is taking and the laboratory orders the nurse should monitor. Despite its potential fatal toxicity, digoxin is used to manage congestive heart failure. However, the nurse should regularly monitor serum digoxin concentrations which are a good marker for digoxin toxicity.

Oral anticoagulation therapy with warfarin helps patients with atrial fibrillation achieve stable anticoagulation. That is why the nurse should regularly control levels of anticoagulation based on an international normalized ratio (INR). Speaking of opioids, the most immediate safety concerns associated with them include prominent postoperative sedation and ventilatory depression. Considering the age of the patient and a narrow therapeutic index of opioids, the nurse should monitor opioid blood level. Being a highly effective drug for pain, ibuprofen can have adverse effects on the elderly. Therefore, the nurse has to prescribe the medication for the shortest period possible and monitor GI, renal, and cardiovascular toxicity. The nurse also should consider interactions of ibuprofen with warfarin and digoxin.

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Academic.Tips. (2021) 'Monitoring for therapeutic blood levels of medications is important in the care of the older adult. Discuss the medications this patient is taking (digoxin, warfarin, opioids, and ibuprofen) and the laboratory orders the nurse would expect to monitor'. 14 September.

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Academic.Tips. (2021, September 14). Monitoring for therapeutic blood levels of medications is important in the care of the older adult. Discuss the medications this patient is taking (digoxin, warfarin, opioids, and ibuprofen) and the laboratory orders the nurse would expect to monitor. Retrieved from https://academic.tips/question/monitoring-for-therapeutic-blood-levels-of-medications-is-important-in-the-care-of-the-older-adult-discuss-the-medications-this-patient-is-taking-digoxin-warfarin-opioids-and-ibuprofen-and-the-l/

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Academic.Tips. 2021. "Monitoring for therapeutic blood levels of medications is important in the care of the older adult. Discuss the medications this patient is taking (digoxin, warfarin, opioids, and ibuprofen) and the laboratory orders the nurse would expect to monitor." September 14, 2021. https://academic.tips/question/monitoring-for-therapeutic-blood-levels-of-medications-is-important-in-the-care-of-the-older-adult-discuss-the-medications-this-patient-is-taking-digoxin-warfarin-opioids-and-ibuprofen-and-the-l/.

1. Academic.Tips. "Monitoring for therapeutic blood levels of medications is important in the care of the older adult. Discuss the medications this patient is taking (digoxin, warfarin, opioids, and ibuprofen) and the laboratory orders the nurse would expect to monitor." September 14, 2021. https://academic.tips/question/monitoring-for-therapeutic-blood-levels-of-medications-is-important-in-the-care-of-the-older-adult-discuss-the-medications-this-patient-is-taking-digoxin-warfarin-opioids-and-ibuprofen-and-the-l/.


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Academic.Tips. "Monitoring for therapeutic blood levels of medications is important in the care of the older adult. Discuss the medications this patient is taking (digoxin, warfarin, opioids, and ibuprofen) and the laboratory orders the nurse would expect to monitor." September 14, 2021. https://academic.tips/question/monitoring-for-therapeutic-blood-levels-of-medications-is-important-in-the-care-of-the-older-adult-discuss-the-medications-this-patient-is-taking-digoxin-warfarin-opioids-and-ibuprofen-and-the-l/.

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"Monitoring for therapeutic blood levels of medications is important in the care of the older adult. Discuss the medications this patient is taking (digoxin, warfarin, opioids, and ibuprofen) and the laboratory orders the nurse would expect to monitor." Academic.Tips, 14 Sept. 2021, academic.tips/question/monitoring-for-therapeutic-blood-levels-of-medications-is-important-in-the-care-of-the-older-adult-discuss-the-medications-this-patient-is-taking-digoxin-warfarin-opioids-and-ibuprofen-and-the-l/.

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