Digoxin Nursing 112 Pharm 1

What is cardiac glycoside?

• Dementia (Psych meds)

• Diuretic

• Digoxin

• Muscle relaxers

How does Digoxin work?

• Increases the contractability of the heart (increasing cardiac output), while increasing the HR at the SA node.

• Increases the contractibility of the heart (increasing cardiac output), while slowing the HR at the SA node.

• Decreases the contractibility of the heart (Increasing cardiac output), while increased the HR at the SA node.

• Decreases the contractability while increasing the HR at the SA node.

What is cardiac glycoside (Digoxin) used to treat?

• To treat the SYMPTOMS of Heart failure, and dysrhythmias, such as a fib (Causes increased HR)

• to cure Heart failure, and a fib.

• To treat POTS

• To CURE Heart failure, and dysrhythmias, such as a fib (Causes increased HR).

nausea, anorexia, vomiting, weakness, bradycardia, confusion, headache, and vision changes) are symptoms of what when a patient is taking Digoxin?

• Hypokalemia

• Digoxin Toxicity

• Hyperkalemia

• Hypocalcemia

What action should the nurse do before administering Digoxin to a patient?

• You do not need to monitor any vitals.

• Assess apical pulse for one whole minute, even if the patient is on a monitor.

• Assess radial pulse for one full minute, even if the patient is on a monitor.

• Assess apical pulse for one 30 seconds, even if the patient is on a monitor.

When should you hold Digoxin and contact the provider? Select all that apply

• You do not have to check pulse to adminster.

• If the pulse is below 60/min (59/min or below) in an adult

• If the apical pulse is below 70/min in a child.

• If the apical pulse is below 90/min in an infant

When should Digoxin be administered?

• Multiple times each day at anytime.

• Every other day

• Does not matter at what time.

• At the same time each day.

Besides Digoxin toxicity, what else should be monitored.

• BUN and Creatinine

• Potassium Levels (K+)

• HGB Levels

• Calcium levels

What are normal levels for potassium?

• 3.4-4.4

• 2.9-4.4

• 3.5-4.5

• 3.0-5.0

What is the correct term for low potassium?

• Hypokalemia

• Hyperkalemia

• Hypocalcemia

• Hypercalcemia