Scribd
Upload
1K views

Digoxin

This document provides information about the cardiac medication digoxin (Lanoxicaps, digitek) including its classification, dose, route of administration, peak effect, onset, and duration. It describes the medication's mechanism of action for increasing cardiac output and contractility as well as its nursing implications focusing on contraindications, interactions, and common side effects like fatigue and nausea. The document outlines how the medication can interact with other drugs, foods, and herbal supplements and affect lab values. It provides teaching points for patients and describes the nursing process for assessment and monitoring vital signs, pulse, and signs of toxicity before and after administration.

Uploaded by

Sheri490
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
1K views

Digoxin

This document provides information about the cardiac medication digoxin (Lanoxicaps, digitek) including its classification, dose, route of administration, peak effect, onset, and duration. It describes the medication's mechanism of action for increasing cardiac output and contractility as well as its nursing implications focusing on contraindications, interactions, and common side effects like fatigue and nausea. The document outlines how the medication can interact with other drugs, foods, and herbal supplements and affect lab values. It provides teaching points for patients and describes the nursing process for assessment and monitoring vital signs, pulse, and signs of toxicity before and after administration.

Uploaded by

Sheri490
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 1

NURS 1556 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


Digoxin Lanosicaps Cardiac glycoside 0.25 mg po q day
digitek
Peak Onset Duration For IV meds, compatibility with IV drips and /or
2-8 hr 30-120 min 2-4 days solutions

Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on)
Increases CO, Inc. myocardial contractility, change Contraindications/warnings/interactions Allergy, Heart
electrical conduction properties of the heart, decrease rate Block, Bradycardia, right/left bundle block
of electrical conduction, prolong refractory period, area
between SA & AV node, Result: Reduced HR and Common side effects – Fatigue, anorexia, nausea,
improved cardiac efficiency vomiting, bradycardia
Geri – very sensitive to toxic effects

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) – Bran, ginseng, Dig level, potassium, renal/kidney function tests, EKG
Aloe, hawthorn, St. John’s Wart, loop Diuretics, drugs
Be sure to teach the patient the following about this
that lower HR. Heart Failure, supraventricular
medication – check dose/take pulse/no high-fiber foods/
dysrhythmias, atrial fibrillation and atrial flutter
weight gain of 2 or more lbs., in 1 day or 5 in a week,
know dig toxicity-nausea, visual signs and symptoms
Nursing Process- Assessment Assessment Why would you hold or Evaluation Check after
(Pre-administration assessment) not give this med? – pulse over 120 or giving
Vital Signs! History, allergies, Apical pulse less than 60, call physician, signs and VS – pulse, HR, Stable VS
for 1 minute, weight, I & O, lab work symptoms of dig toxicity

All geriatric pt. have potential for impaired renal/kidney/liver function/failure


Daily dose should not exceed 0.125 mg except when treating Afib. Postural hypotension
– fall risks – all heart meds

You might also like