A patient in heart failure has a decrease in glomerular filtration rate to 15 ml/min. The patient had been taking digoxin and hydrochlorothiazide . Given the change in the patient's status, what dosage alteration(s) would the nurse anticipate?
a. The medication doses would remain unchanged.
b. The hydrochlorothiazide would be changed to furosemide.
c. Spironolactone would be added to the digoxin and hydrochlorothiazide .
d. No change should be necessary.
Question 2
In combination with digoxin, which drug predisposes a patient to digoxin toxicity?
a. Nitroglycerin
b. Hydrochlorothiazide
c. Triamterene
d. Captopril