Medication Administration Guide

Vocabulary flashcards covering classes, indications, side effects, and nursing considerations for cardiac glycosides and antiarrhythmic medications.

Digoxin

A cardiac glycoside medication indicated for heart failure and atrial fibrillation/flutter; requires checking the apical pulse for 1 full minute and holding if the heart rate is less than $60\,bpm$.

Procainamide

A Class IA antiarrhythmic used for atrial and ventricular arrhythmias; nursing considerations include monitoring for a lupus-like syndrome and ECG/BP changes.

Lidocaine

A Class IB antiarrhythmic indicated for ventricular arrhythmias; it is administered as an IV bolus then infusion and requires monitoring of neurologic status for signs of toxicity like seizures.

Disopyramide

A Class IA antiarrhythmic used for ventricular arrhythmias; it is known for causing anticholinergic side effects such as dry mouth, constipation, and urinary retention.

Adenosine

An antiarrhythmic indicated for Paroxysmal supraventricular tachycardia (PSVT), administered as a rapid IV push of $6\,mg$ (may repeat $12\,mg$) followed by a saline flush.

Lupus-like syndrome

A specific side effect associated with the medication Procainamide; patients should report symptoms such as rash or joint pain.

Yellow-green vision

A distinct visual side effect associated with Digoxin toxicity.

Paroxysmal supraventricular tachycardia (PSVT)

The specific cardiac indication for the use of Adenosine.

Anticholinergic effects

Side effects including dry mouth, constipation, and urinary retention that must be monitored when a patient is taking Disopyramide.

Digoxin Dosage

The typical daily oral dose for this medication is between $0.125\,mg$ and $0.25\,mg$ PO.

Disopyramide Dosage

The standard oral dosage is $100\,mg$ to $150\,mg$ PO every $6\,hr$.