Dx Drugs- Cardiac Glycosides Flashcards
Digoxin (Lanoxin)
Drug Uses
heart failure
a-fib
Digoxin (Lanoxin)
Side Effects
dizziness, confusion, nausea, vomiting, diarrhea
Digoxin (Lanoxin)
Adverse Reactions
same as side effects
arrhythmias, heart block
Digoxin (Lanoxin)
Interactions
Ace Inhibitors, ARB’s, NSAID’s (affect kidney function)
Antacids: decrease absorption of oral digoxin
Abx: Increases risk of digoxin toxicity
Beta or Calcium Channel Blockers: additive effects on AV node conduction causing heart block
Digoxin (Lanoxin)
Contraindications
V-fib
Myocardial Infarction (heart attack)
Hypokalemia (low K = digoxin toxicity)
Digoxin (Lanoxin)
Nursing Considerations
monitor pulse and bp
> 60 bpm
K level (take corrective action before hypokalemia occurs)
Warfarin (Coumadin)
Side Effects
bleeding
Warfarin (Coumadin)
Drug Uses
blood thinner
a-fib, valve replacement, DVT, adjunct to reduce risk of stroke after heart attack
Warfarin (Coumadin)
Adverse Reactions
significant bleeding
Warfarin (Coumadin)
Interactions
most drugs and herbs, vit K, cranberry, grapefruit, alcohol
Warfarin (Coumadin)
Contraindications
Bleeding Disorder, Pregnancy, Surgery, Malignant Hypertension
Atorvastatin (Lipitor)
Drug Uses
lowers cholesterol, used in pt’s with coronary artery disease to reduce risk of heart attack
Atorvastatin (Lipitor)
Side Effects
Muscle Pain
GI upset
Liver Toxicity
Atorvastatin (Lipitor)
Interactions
Antacids: can decrease effects of statin
Digoxin
Grapefruit Juice
Alcohol
Atorvastatin (Lipitor)
Contraindications
Liver failure or disease
Heavy Alcohol Use
Kidney Failure
