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Digoxin Drug Study
Digoxin Drug Study
Name of the
medication: Dosage, Frequency Adverse
Action: Indication: Contraindication: Nursing interventions:
Generic Name and Route: reactions:
(Brand name)
Digoxin Adults: Inhibits CNS: fatigue, Heart failure, Contraindicated in Drug-induced arrhythmias
Digitek, Loading dose: sodium- generalized paroxysmal patients may increase the severity of
Digoxin, 0.75–1.25 mg PO or potassium- muscle supraventricular hypersensitive to heart failure and
Lanoxicaps, 0.125–0.25 mg IV. activated weakness, tachycardia, drug and in those hypotension.
Lanoxin* Maintenance dose: adenosine agitation, atrial fibrillation with digitalis- Before giving loading dose,
0.125–0.25 mg/day triphosphatase, hallucinations, and flutter induced toxicity, obtain baseline data (heart
Classification: PO. promoting CV: ventricular rate and rhythm, blood
Inotropic Lanoxicaps capsules movement of arrhythmias, fibrillation, or pressure, and electrolytes)
Antiarrhythmic Loading dose: calcium from heart block. ventricular and ask patient about use of
Cardiac 0.4–0.6 mg PO. extracellular to EENT: yellow- tachycardia unless cardiac glycosides within the
glycoside Maintenance dose, intracellular green halos caused by heart previous 2 to 3 weeks.
0.1 –0.3 mg/day PO. cytoplasm and around visual failure. Loading dose is usually
strengthening images, Patients with Wolff- divided over the first 24
myocardial blurred vision, Parkinson-White hours with approximately
contraction. light flashes, syndrome unless half the loading dose given in
Also acts on photophobia, the conduction the first dose.
CNS to diplopia. accessory pathway Before giving drug, take
enhance vagal GI: anorexia, has been apical-radial pulse for 1
tone, slowing nausea pharmacologically minute. Record and notify
conduction or surgically prescriber of significant
through the SA disabled. changes (sudden increase or
and AV nodes. Elderly patients and decrease in pulse rate, pulse
in those with acute deficit, irregular beats and,
MI, incomplete AV particularly, regularization of
block, sinus a previously irregular
bradycardia, PVCs, rhythm). If these occur, check
chronic constrictive blood pressure and obtain a
pericarditis, 12-lead ECG.
hypertrophic Monitor digoxin level.
cardiomyopathy, Therapeutic level ranges
renal insufficiency, from 0.8 to 2 ng/ml. Obtain
severe pulmonary blood for digoxin level at
disease, or least 6 to 8 hours after last
hypothyroidism. oral dose, preferably just
before next scheduled dose.
Alert: Excessively slow pulse
rate (60 beats/minute or less)
may be a sign of digitalis
toxicity. Withhold drug and
notify prescriber.
Monitor potassium level
carefully. Take corrective
action before hypokalemia
occurs. Hyperkalemia may
result from digoxin toxicity.
Look alike-sound alike: Don't
confuse digoxin with
doxepin.