new case

new case
name of patient;abd- alhussan
kadem
age;70 years
reason of visit;sob;palpitation;fever;constipation
dignosis;pitting oedema indicate heart failure;hyertension
current drug history;digoxin,decadrone,ferosemide,aspirin,heparin,solvodine
note from me;
1-digoxin must be taken with k-sparing diuretic .
2-digoxin must be taken at morning after meal .
3-missed dose of digoxin must not taken after12am.
4-digoxin must be kept apart from children b\c of toxicity
5-signs of toxicity of digoxin are cariac arrythemia,nausea
vomitting,yellow-green halos around light multi drug interaction
other notes.
1-aspirin and heparin given to avoid thrombosis
2-solvodin given as expecturant.