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    Generic Name T Rade Name Lanoxin Digoxin

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    Christopher Lee
    Lanoxin (digoxin) is an antiarrhythmic medication used to treat congestive heart failure and certain abnormal heart rhythms. It works by increasing the force of myocardial contraction and prolonging the refractory period in the AV node. Common side effects include fatigue, headache, and nausea. When administering digoxin, the patient's apical pulse should be monitored for 1 full minute and any significant changes in rate, rhythm, or quality should be reported to the physician. The drug interacts with many other medications and foods, and the dose should be withheld and the physician notified if the pulse rate drops below 60 bpm.

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    Generic Name T Rade Name Lanoxin Digoxin

    Uploaded by

    Christopher Lee
    81 views1 page
    Lanoxin (digoxin) is an antiarrhythmic medication used to treat congestive heart failure and certain abnormal heart rhythms. It works by increasing the force of myocardial contraction and prolonging the refractory period in the AV node. Common side effects include fatigue, headache, and nausea. When administering digoxin, the patient's apical pulse should be monitored for 1 full minute and any significant changes in rate, rhythm, or quality should be reported to the physician. The drug interacts with many other medications and foods, and the dose should be withheld and the physician notified if the pulse rate drops below 60 bpm.

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    Lanoxin (digoxin) is an antiarrhythmic medication used to treat congestive heart failure and certain abnormal heart rhythms. It works by increasing the force of myocardial contraction and prolonging the refractory period in the AV node. Common side effects include fatigue, headache, and nausea. When administering digoxin, the patient's apical pulse should be monitored for 1 full minute and any significant changes in rate, rhythm, or quality should be reported to the physician. The drug interacts with many other medications and foods, and the dose should be withheld and the physician notified if the pulse rate drops below 60 bpm.

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    81 views1 page

    Generic Name T Rade Name Lanoxin Digoxin

    Uploaded by

    Christopher Lee
    Lanoxin (digoxin) is an antiarrhythmic medication used to treat congestive heart failure and certain abnormal heart rhythms. It works by increasing the force of myocardial contraction and prolonging the refractory period in the AV node. Common side effects include fatigue, headache, and nausea. When administering digoxin, the patient's apical pulse should be monitored for 1 full minute and any significant changes in rate, rhythm, or quality should be reported to the physician. The drug interacts with many other medications and foods, and the dose should be withheld and the physician notified if the pulse rate drops below 60 bpm.

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    Download as DOC, PDF, TXT or read online from Scribd
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    Generic name Trade name Classification Route Time/Frequency Normal Dosage- PO digitalizing dose-

    Lanoxin digoxin antiarrhythmics PO or IV 0.75-1.5mg IV digitalizing dose0.5g-1


    mg
    Indications- Tx of CHF.Tachyarrhythmias:atrial fibrillation n atrial Contraindications/warnings/interactions- ventricular fibrillation or in
    flutter(slows ventricular rate),paroxysmal atrial tachycardia.
    patients with a known hypersensitivity to digoxin.

    Mechanism of action- Increases the force of myocardial Common side effects- fatigue, headache, bradycardia, anorexia,
    contraction.prolongs refractory period of the AV nausea, vomiting.
    node.decreases conduction through the SA n AV nodes.
    Lab value alterations- serum electrolyte levels(esp. potassium,
    magnesium, calcium) n renal n hepatic functions periodically during
    therapy
    Nursing Considerations- monitor apical pulse for 1 full min before
    administering, n significant changes in rate, rhythm quality of pulse.
    Assess for falls risk(digoxin  fall risk) n implement prevention
    Interactions with other patient drugs, OTC, or herbal
    strategies per facility protocol.
    medicines- antacids, or Kaopectate, alprazolam (Xanax),
    Toxicity n overdose: therapeutic serum digoxin levels range from 0.5-2
    cancer medications, clonidine (Catapres), supplements or
    medications that contain calcium, diuretic (water pill), such as mg/ml. Serum levels may be drawn 6-8 hr after a dose is administered.
    spironolactone (Aldactone, Aldactazide), amphotericin B,
    cholestyramine (Questran, Prevalite), epinephrine (EpiPen), Why would you hold or not give Evaluation- Dec. in severity of
    guanabenz (Wytensin) or guanfacine (Tenex), indomethacin this med? withhold dose n notify CHF. Increase in cardiac output,
    (Indocin), isoproterenol (Isuprel), itraconazole (Sporanox), physician if pulse rate is <60 bpm Dec. in ventricular response in
    levothyroxine, methyldopa (Aldomet), metoclopramide (Reglan), atrial tachyarrhythmias.
    neomycin , rifampin , sulfasalazine (Azulfidine), an antibiotic Termination of paroxysmal atrial
    such as erythromycin, clarithromycin (Biaxin), or tetracycline, tachycardia.
    beta-blockers, calcium channel blockers, decongestant cold or
    allergy medicine, or nasal sprays, a heart rhythm medication,
    steroids

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