University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2021
Views:

200

Pages:

1
Author:

Lance Gutierrez

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ Digoxin MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Cardiac glycoside, inotropic, antidysrhythmic CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Inhibits the sodium-potasium pump, which makes more calcium available for contractile proteins, increases the cardiac output; increases the force of contractions, decreases heart rate, decreases AV conduction speed Therapeutic Use Atrial Fibrillation, Heart Failure, tachycardias Complications Headache, drowsiness, depression, hallucinations, hypotension, bradycardia, dysrhythmisa, av block, blurred vision, yellow-green hallos, photophobia, nausea, vomiting, ABD pain, diarrhea. Medication Administration Loading dose: IV/PO - 10-15mcg/kg in three divided doses q6-8 with first dose = 1/2 of total Maintenance: PO - 125-500 mcg q day Contraindications/Precautions Hypersensitivity to digoxin, ventricular fibrillation, carotid sinus syndrome, 2nd-3rd degree heart blocks. Nursing Interventions Assess Apical pulse for 1 minute prior to administration. If pulse is <60 in an adult or <90 in a infant take again in 1 hr if still low call PCP and document heart rate, rhythm and character. Check electrolytes - K, Na, Cl, Mg, Ca; renal function - BUN, creatinine Blood - ALT, AST, bilirubin, HCT, Hgb prior to administration. Interactions Thiazides, parenteral calcium, diuretics, amphotericin B, steriods, verapamil, amiodarone, anticholinergics, diltiazem, B-adrenergic blockers, antacids, thyroid agents I&O ratio, daily weights, monitor tugor, lung sounds, edema Monitor for therapeutic level 0.5-2ng/ml Cardiac status - apical pulses, character. rate, and rhythm. Client Education Evaluation of Medication Effectiveness Therapeutic response: decrease in weight, edema, pulse, respirations, crackles; increased in urine output, serum digoxin level (0.5-2 ng/ml) ACTIVE LEARNING TEMPLATES Take medication as prescribed, do not stop abruptly, do not take antacid at the same time, speak to pcp prior to taking any over the counter medications, sodium restricted diet, report any sob, difficulty breathing, edema or presistent cough. THERAPEUTIC PROCEDURE A7