cardiac glycosides/inotropic- digoxin (lanoxin)

Question 1

name a type of cardiac glycosides/inotropic

Answer 1

digoxin (lanoxin)

Question 2

what does digoxin (lanoxin) treat

Answer 2

second line drug for HF

Question 3

adverse drug reactions of digoxin (lanoxin)

Answer 3

GI symptoms- nausea; vomiting; anorexia

CNS symptoms- fatigue visual disturbances

Question 4

what are adverse reactions like GI symptoms when using digoxin(lanoxin) an early sign of

Answer 4

early signs of toxicity

Question 5

what type of visual disturbances will occur if you have an adverse reaction to digoxin (lanoxin)

Answer 5

yellow vision and blurred vision

Question 6

interventions for digoxin (lanoxin)

Answer 6

vomiting can cause hypokalemia
report GI symptoms
report CNS symptoms
take apical pulse for 1min before administering digoxin– withhold if apical pulse is below 60 BPM
monitor digoxin levels
monitor serum potassium

Question 7

when should digoxin be withheld

Answer 7

if apical pulse falls below prescribe parameters (such as for adults below 60 BPM)

Question 8

what can low hypokalemia increase the risk of when taking digoxin (lanoxin)

Answer 8

increase digoxin toxicity

Question 9

what should be monitored when on digoxin

Answer 9

apical pulse
serum potassium

Question 10

what should be reported when on digoxin

Answer 10

CNS and GI symptoms
heart palpitations
signs of hypokalemia

Question 11

client instructions when on digoxin (lanoxin)

Answer 11

report nausea; loss of appetite; or vomiting to provider

report headache ; visual disturbances to provider

report heart palpitations
report signs of hypokalemia

to decrease risk of toxicity or low serum levels take digoxin at the same time each day and do not skip or double a dose

Question 12

what is a sign of hypokalemia

Answer 12

muscle weakness

Question 13

contraindications for digoxin (lanoxin)

Answer 13

ventricular dysrhythmias
AV block

Question 14

precautions for digoxin (lanoxin)

Answer 14

hypokalemia
concurrent use of diuretics

Question 15

what interactions should client be aware of when on digoxin

Answer 15

erythromycin and other antibiotics
other dysrhythmics
diuretics
herbal ginseng

Question 16

what can interacting digoxin with erythromycin and other antibiotics cause

Answer 16

digoxin levels

Question 17

what can interacting digoxin with other cardiac dysrhythmics such as verapil; quunidine; aminodarone; flecainide; cause

Answer 17

increased digoxin levels

Question 18

if taking digoxin and cardiac dysrhythmics concurrently what should be done to the digoxin dose

Answer 18

decrease digoxin dosage

Question 19

how could diuretics cause digoxin toxicity

Answer 19

it decreases potassium levels

Question 20

why can taking herbal ginseng increase the risk for when taking digoxin

Answer 20

risk for digoxin toxicity

Question 21

what can st. john’s wort do to digoxin levels

Answer 21

decrease digoxin levels

Question 22

how can you decrease risk of digoxin toxicity and low serum levels when on digoxin (lanoxin)

Answer 22

take digoxin at the same time each day and do not skip or double a dose