Med-Digoxin (Lanoxin) template PDF

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ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

Digoxin (Lanoxin) MEDICATION __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

Cardiac glycoside CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Increases force and velocity of myocardial contraction, resulting in positive inotropic effects. Decreases conduction rate and increases effective refractory period of AV

Therapeutic Use For Tx of mild to moderate heart failure with rapid digitization

Complications Arrythmias Heart block Electrolyte imbalances

Contraindications/Precautions Hx/presence of digitalis toxicity/idiosyncratic reaction to digoxin, v-fib, v-tach (unless HF occurs unrelated to digoxin therapy)

Interactions Arbutimine, quinidine, amphotericin B, macrolide antibiotics, propafenone, cyclosporine, verapamil, hydroxychloroquine, trimethoprim, ketoconazole, amiodarone

Medication Administration May be given PO or IV Most commonly given via IV push and administered slowly over 5 minutesA loading dose is given first followed by subsequent doses every 68hrs and a QD maintenance dose Dosage adjustments may

Nursing Interventions Expect to treat underlying thiamine deficiencyParenteral doses may be given diluted or undilutedTake apical pulse before each dose and notify provider if below 60bpmObtain frequenct ECG for elderly patientsMonitor serum

Client Education Evaluation of Medication Effectiveness Normal cardiac rhythm, proper functioning of the heart muscles, adequate tissue perfusion/oxygenation

ACTIVE LEARNING TEMPLATES

Take as prescribed; possible toxicity from taking too much, decreased effectiveness if taking too littleTake pulse before taking med, notify HCP if pulse is below 60bpmTake missed doses within 12 hours of scheduled dose - do not

THERAPEUTIC PROCEDURE

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