May 26, 2023
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Digoxin
Lanoxin
CHF, AFib, A-flutter
Positive inotropic effect (increases force of myocardial
contraction), prolongs
refractory period, ↓ conduction through SA and AV nodes.
Essentially digoxin is
given to increase cardiac output and slow the rate.
Antiarrhythmic, inotropics
Digitalis glycosides
• Excreted by kidneys
• Assess patient for hypersensitivity
• Contraindicated with uncontrolled ventricular arrhythmias
• Hypokalemia increase risk for toxicity
• Hypercalcemia ↑ risk for toxicity
• Use caution with diuretic use as they may cause electrolyte
abnormalities
that can lead to toxicity
• Assess patient for cardiac arrhythmias including bradycardia
• Signs of toxicity include vision changes (blurred vision, yellow,
green vision
disturbances)
• Monitor pulse rate for 1 full minute prior to dosing patient
(hold for pulse <60)