Digoxin (Lanoxin)

Question 1

What is the trade name of Digoxin?

Answer 1

Lanoxin

Question 2

What is the therapuetic and Pharmacologic classifications of Digoxin?

Answer 2

Therapeutic: antiarrhythmics, inotropic(force of contraction)
Pharmacologic: digitalis, glycosides

Question 3

Dosage/route/frequency of Digoxin?

Answer 3

Adult:Dgitizing dose
IV:0.5-1mg
PO:0.75-1.5mg
Doses are given as 50% of initial dose in each of 2 subsequent doses at 6-12hrs

Question 4

What are the indications of Digoxin?

Answer 4

Given for heart failure, a-fib, and a-flutter. Also paroxysmal atrial tachycardia

Question 5

How does digoxin work?

Answer 5

It increase the force of the myocardial contraction. Prolongs refractory period of AV node. decrease the conduction of SA and AV nodes

Question 6

What side effects are most likely for Digoxin?

Answer 6

CNS: Fatigue
CV: Arrhythmias, bradycardia
GI: Anorexi, n/v

Question 7

What is priority nursing intervention to take prior to giving Digoxin?

Answer 7

It’s Digoxin take a Apical pulse for 1 minute(not 30seconds). Withhold the dose if rate is <60 and moitor ECG changes at east 6hrs after initial dose

Question 8

What does the nurse need to teach the pt about Digoxin?

Answer 8

name, dose, route, purpose, teach pt and family how to take pulse and to notify MD if 100bpm
-take missed doses within 12hrs DO NOT double dose. If dose is missed outside of 12hr window, omit. Consult MD if doses for 2 consecutive days is missed

Question 9

What other medications are a concern for pts taking digoxin?

Answer 9

Any meds that cause hypoK like loop diuretics and thiazde may increase risk of toxicity