Term
Which is an expected outcome associated with administration of digoxin
Decreased heart Rate
Digoxin has a negative chronotropic effect (Decreased heart rate) |
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Definition
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Term
The patient has a serum digoxin level drawn and it comes back 0.4 mg/ml
The nurse recognizes that this is
Below the therapeutic level
Therapeutic serum digoxin levels are 0.5 to 2 mg/ml |
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Definition
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A patient is taking digoxin 0.25 mg and furosemide (Lasix) 40 mg when the nurse enters the room the patient states "there are nice halos around the lights
Evaluate the patient for other symptoms of digoxin toxicity
Yellow and Green halos around objects is red flag symptom of digoxin toxicity |
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Definition
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The patient weighs 44 lbs and is to be digitalized. The digitalizing dose is to be 0.03 mg/kg in three divided doses.
0.2 mg
44 / 2.2 = 20 kg
0.03mg/kg x 20 = 0.6 mg
0.6mg /3 doses = 0.2 mg/dose |
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Definition
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Which are therapeutic effects of digoxin
A positive inotropic, negative chronotropic, and negative dromotropic
Digoxin increases cardiac contractility (positive inotropic effect) decreases heart rate (negative chronotropic effect) and decreases conductivity (negative dromotropic effect) |
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Definition
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Term
Which effect would alert the nurse to suspect elderly digitails toxicity
Nausea and Vomitting
Early symptoms of digitalis toxicity include anorexia, nausea and vomitting (related to GI) fatigue, headache, depression, weakness |
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Definition
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Term
Phosohodiesterase inhibitors have an added advantage in treating heart failure because a postitive inotropic effect and
Vasodilation
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Definition
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Term
The nurse reviews a pts. lab values and finds a digoxin level of 10 and a serum potassium level of 6.2
The nurse would notify the health care provider and anticipate
Digoxin Immune FAB
Digoxin Immune FAB is indicated for severe digoxin toxcity as evidenced |
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Definition
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Term
Assessement of a pt. receiving a positive inotropic drug would include reviewing which values
Lung Sounds
Daily Wts
Apical Pulse
Serum electrolytes
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Definition
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Term
The nurse would question the use of milrinone (PRIMACOR) a patient with which disorder
Systolic Heart Rate
Serve aortic or pulmonic valvular dx and diastolic heart failure |
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Definition
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Term
When teaching a pt. regarding the administration of digoxin, the nurse instructs the patient not to take this medication with which food
Wheat Bran
Large amounts of bran taken with digoxin will decrease and negatively impact the drugs absorption |
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Definition
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