Digoxin Nursing Considerations Side Effects and Mechanism of Action Pharmacology for Nurses

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Grab our cheatsheet covering the 50 most commonly prescribed medications right here: http://NURSING.com/50meds • Listen to all the episodes at: https://www.NURSING.com/medmaster-pod... • View the blog post here: https://www.NURSING.com/digoxin-lanoxin/ • Digoxin • Generic Name: digoxin • Trade Name: Lanoxin • Indication: CHF, A-fib, A-flutter Action 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. • Therapeutic Class: antiarrhythmic, inotropics • Pharmacologic Class: digitalis glycosides • Nursing Considerations: •  Excreted by kidneys •  Assess patient for hypersensitivity •  Contraindicated with uncontrolled ventricular arryhtmias •  Hypokalemia increase risk for toxcicity •  Hypercalcemia ↑ risk for toxicity •  Use caution with diuretic use as they may cause electrolyte abnormalities that can lead to toxicity •  Assess patient for cardiac arrythmias 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 less than 60)

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