18 Cardiac Glycoside HF med

Cardiac Glycoside HF example

Digoxin (Lanoxin)

Digoxin use

HF symptoms, slows fast atrial fibrillation

Digoxin effects on body

stronger beat (better cardiac output), slower rate, helps symptoms, not survival

Digoxin contraindicated

ventricular fibrillation, heart block, low K, kidney disease

Digoxin side effects

nausea, poor appetite, fatigue

Digoxin adverse effects

toxicity: vomiting, yellow-green vision, slow pulse, dysrhythmias

Digoxin give and check

Oral, once daily; IV for urgent use

Apical pulse 1 min; hold if _____; check _____

HR <60, K

Digoxin client education

check pulse before each dose, same time, same brand

Digoxin client report

vomiting, vision changes, slow pulse

ok

Digoxin CJMM

Recognize Cues: HR 54, nausea, yellow halos, K+ 3.1.

Take Action: Hold, notify, monitor rhythm.

ok