Digoxin

Question 1

Brand name of Digoxin

Answer 1

Lanoxin

Question 2

Drug class for Digoxin

Answer 2

Cardiac Glycoside, inotropic agent

Question 3

Indications for Digoxin

Answer 3

Congestive heart failure, re-entry SVT, ventricular rate control in atrial flutter and atrial fibrillation

Question 4

Mechanism of action for digoxin

Answer 4

Rapid-acting cardiac glycoside with direct and indirect effects: increases force of myocardial contraction, increases refractory period of AV node, and increases total peripheral resistance

Question 5

Contraindications for Digoxin

Answer 5

Ventricular fibrillation, ventricular tachycardia, digitalis toxicity, hypersensitivity to digoxin

Question 6

Adverse effects of Digoxin

Answer 6

Fatigue, headache, blurred yellow or green vision, seizures, confusion, bradycardia, dysrhythmia, nausea, vomiting, anorexia, skin rash

Question 7

Precautions for Digoxin

Answer 7

Has a narrow therapeutic range. Amiodarone, Quinidine and Verapimil will increase serum Dig levels up to 70%, use with diuretics may Potentiate cardiac toxicity

Question 8

Adult Dose of Digoxin

Answer 8

loading dose 4 to 6 mcg/kg over 5 minutes. 2nd and 3rd bolus of 2 to 3 mcg/kg to follow at 4 to 8 hour intervals

Question 9

Pedi dose of Digoxin

Answer 9

Not recommended