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CARDIO/GYCO 1
PHARM
| Question | Answer |
|---|---|
| CARDIO GYCOSIDES | TXT HF |
| ACTION | INCREASES CARDIAC OUTPUT BY INCREASES FORCE OF CONTRACTION SLOWS ELECTRICAL CONDUCTION (AFIB) |
| USES | HF ATRIAL FIBRILLATION |
| EXAMPLE | DIGOXIN (LANOXIN) - A POWERFUL POSITIVE INOTROPIC MEDICATION |
| CONTRAINIDICTION | 2ND OR 3RD DEGREE HEARTBLOCK VENTRICULAR FIBRULATION DIASTOLIC H/F |
| DIG LEVALS : THEROPUTIC RANGE | 0.8-2.0NGML >TOXIC |
| INTERACTIONS | VERAPAMIL HERBAL : GINSENG, HAWTHORN,LICORICE, ST.JOHNS WORT |
| ADVERSE | TOXICITY RISK YELLOW HALOS BLURRED VISION MENTAL CHANGES NAUSEA, DROWZYNESS ANOREXIA |
| NURSING CONSIDERATION | MONITOR APICAL PULSE MUST BE >60 WATCH FOR TOXICITY SYMPTOMS AVOID HIGH FIBER FOODS AROUND DOSING TAKE SAME TIME DAILY WEAR MEDIC ALERT BRACELT MONITOR VITLS, EKG, I/O D..WTS SOB |
| ANTIDOTE | DIGOXIN IMMUNE FAB (DIGI-BIND MONITOR FOR PHLEBITIS AND HYPOKALEMIA |