Atrial Fibrillation Case Study

The following morning, the cardiologist came to consult on Lillian’s case and left orders for anticoagulation because of Lillian’s chronic irregular heartbeat from atrial fibrillation. Dr. B left the following orders for anticoagulation.
Heparin 5,000 units SQ every 12 hours
Warfarin 2.5 mg po daily for a target INR of 2.5
aPTT, PT, and INR now and then every morning
Digoxin 0.25 mg po daily
1. What is the rationale for the cardiologist ordering heparin and warfarin at the same time?
2. What are some nursing implications when administrating digoxin?

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