CV - cardiac glycosides Flashcards
1
Q
cardiac glycoside drugs
A
digoxin
2
Q
digoxin
MOA
A
[+] inotropic action
—–pumps harder
[-] chronotropic effect
—–pumps slower
3
Q
digoxin
Tx
A
- atrial fibrillation (rate control)
- 2nd line for HF
4
Q
digoxin
AE
A
- dysrhythmias, cardiotoxicity, GI + CNS effects
- –vision changes + diarrhea,
- –green, yellow, white halos around objects
- –anorexia is first manifestation of toxicity
5
Q
digoxin
RN teaching
A
- monitor potassium levels
- monitor apical pulse 1 minute
- therapeutic range is 0.8-2.0ng/mL
- eat foods high in K
- hold if HR is less than 60
6
Q
digoxin antidote
A
digibind or digoxine immune fab
7
Q
food high in K
A
*banana spin pot song
bananas spinach potatoes salt sub orange citrus nuts grapefruit citrus
