Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DigoxinLanoxinNursingConsiderations   Generic Name Digoxin

Trade Name Lanoxin

Indication CHF, AFib, A-flutter

Action Positive inotropic effect (increases force of myocardial contraction), prolongs
refractory period, ↓ conduction through SA and AV nodes. Essentially digoxin is
given to increase cardiac output and slow the rate.

Therapeutic Class Antiarrhythmic, inotropics

Pharmacologic Class Digitalis glycosides

Nursing Considerations • Excreted by kidneys
• Assess patient for hypersensitivity
• Contraindicated with uncontrolled ventricular arrhythmias
• Hypokalemia increase risk for toxicity
• Hypercalcemia ↑ risk for toxicity
• Use caution with diuretic use as they may cause electrolyte abnormalities
that can lead to toxicity
• Assess patient for cardiac arrhythmias including bradycardia
• Signs of toxicity include vision changes (blurred vision, yellow, green vision
disturbances)
• Monitor pulse rate for 1 full minute prior to dosing patient (hold for pulse <60)