💔 Heart Failure? More Like Heart Drama
This occurs when the heart cannot pump enough blood to meet the body's oxygen and nutritional needs.
What is heart failure?
These medications remove excess fluid and decrease congestion in heart failure.
What are diuretics?
Digoxin improves this ability of the heart.
What is contractility?
A major adverse effect risk associated with digoxin therapy.
What is digoxin toxicity?
Digoxin is usually combined with these two medication groups.
What are diuretics and ACE inhibitors/ARBs?
The two major types of heart failure are classified by the side of the heart affected: left-sided and this.
What is right-sided heart failure?
This ACE inhibitor is commonly used in heart failure treatment.
What is enalapril?
Digoxin may be given by these two routes.
What are oral and IV?
Irregular, pounding, fast, or slow heartbeats may indicate this.
What is digoxin toxicity/dysrhythmia?
Nurses monitor this lab value because kidney function affects digoxin dosing.
What is serum creatinine/kidney function?
This type of heart failure involves impaired contraction during systole.
What is heart failure with reduced ejection fraction (HFrEF)?
This aldosterone antagonist helps prevent sodium and water retention.
What is spironolactone?
Food in the GI tract can do this to digoxin absorption.
What is decrease absorption?
Digoxin should be used cautiously in patients with abnormal function of this organ.
What are the kidneys?
This electrolyte imbalance increases the risk of dysrhythmias with digoxin.
What is hypokalemia?
Dyspnea and fatigue can lead to this, making patients struggle with physical activity.
What is exercise intolerance?
These medications reduce the effects of angiotensin II and help decrease cardiac workload.
What are ARBs (angiotensin II receptor blockers)?
About 60%–70% of digoxin is eliminated through this organ.
What are the kidneys?
Low levels of potassium increase the risk of this complication with digoxin.
What is digoxin toxicity?
Patients taking digoxin should be taught to report these symptoms.
What are dizziness, irregular heartbeat, or vision changes?
These two conditions are the most common causes leading to heart failure.
What are coronary artery disease and hypertension?
The overall goal of heart failure drug therapy is to slow progression, reduce symptoms, and decrease this.
What is morbidity and mortality?
Digoxin has this effect on heart rate in patients with atrial dysrhythmias.
What is a negative chronotropic effect?
Acute MI, heart block, and this syndrome are conditions requiring caution with digoxin.
What is Wolff-Parkinson-White syndrome?
The nurse’s responsibilities include preventing interactions, administering medication safely, monitoring effects, and providing this.
What is patient teaching?