Medication Digoxin - ATI PDF

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Summary

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ACTIVE LEARNING TEMPLATE:

Medication

Briana Rumney STUDENT NAME _____________________________________ Digoxin 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 refraction period of AV node.

Therapeutic Use For treatment of mild to moderate heart failure

Complications Arrythmias, heart block, electrolyte imbalances

Contraindications/Precautions Hx of toxicity or reaction with digoxin, hx of ventrilcular fibrillatio or ventricular tachycardia

Interactions

Medication Administration PO or IV, over 5 minutes. Loading dose followed by subsequant doses. Dosage may need changed due to age or presence of pacemaker.

Nursing Interventions Be ready to reat thiamine deficiency, take apical pulse before each dose (if belowe 60, don’t give and notify HCP), frequency ECG, monitor K+

Arbutimine, quianidine, amphotericin B, macrolide abx, propafenone, cylcosporine, verapamil, hydrozychloroquine, trimethoprim, ketoconazole, amiodarone Client Education Evaluation of Medication Effectiveness Normal cariac rhythm, proper functioning of the heart muscles, adequate tissue perfusion/oxygenation

ACTIVE LEARNING TEMPLATES

Take as prescribed, possible toxicity, take pulse before taking med, take missed doses within 12 hours (do not double), notify HCP with GI distress or pulse changes, talk to HCP before taking OTC medications

THERAPEUTIC PROCEDURE

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