Karteikarten
Digoxin
Karten in diesem Stapel (15)
- 1Trade namesLanoxin - Sigmaxin
- 2Therapeutic classAntiarrythmic
- 3Pharmaceutical classglycoside
- 4Indicationstreatment and management of:
- congestive cardiac insufficiency
- Arrhythmias
- heart failure. - 5ActionInhibits sodium/potassium transporting pump leading to an increase in intracellular sodium -> this increases the amount of calcium pumped into the cardiac muscle, increasing contractility of the heart.
- 6Therapeutic effectPumping action of the heart is improved - by increasing diastolic fill time.
- 7Absorption70 - 80 % absorbed in small intestine
- 8Distributionextensively distributed across tissues -> rapidly crosses placenta and enters breastmilk
- 9Metabolism & excretionMajority is excreted unchanged in urine
- 10half-life36 hours
- 11Contraindicators/precautionsCaution use in the elderly
Hyperthyroidism - may decrease concentration
Hypothyroidism - may increase concentration
Acute MI
Heart blocks
Renal impairment - 12Adverse reactionsCVS: May worsen arrhythmias, bradycardia CNS: headache, drowsiness GIT: N + V OPTHAL: may cause blurred yellow/green vision
- 13InteractionsMay increase the effect of other drugs that slow cardiac conduction
- 14nursing assessment impicationsMonitor HR (< 60 withold)
Check renal functioning and electrolytes before admin
Cardiovascular assess - 15Education pointsTeach patient how to monitor pulse
Ask them to stick to 1 brand
Informationen
- Beschreibung
- Der Nutzer hat seine Fachbereichs-Information gelöscht. Karteikarten am Digoxin, erstellt von Gelöschter Nutzer am 04/06/2018.
- Erstellt von
- Gelöschter Nutzer · Jun 2018
- Aktualisiert
- 4 Jun 2018
- Aufrufe
- 13
- Verlauf
-
- Erstellt von Em J · 4 Jun 2018
- Kopiert von Em J · 4 Jun 2018
- Bewertung