Uses & Actions
Digoxin is a second‑line drug used to treat this chronic cardiac condition
What is heart failure?
The FIRST sign of digoxin toxicity
What is anorexia?
Digoxin should not be used in ventricular 2 ventricular dysrhythmias
What is V-TACH & V-FIB?
Nurses must this check before giving digoxin
What is the apical pulse?
Digoxin should be taken at this frequency
What is daily at the same time?
1) Digoxin increases the force of contraction, known as this effect
2) Digoxin decreases heart rate, known as this effect
What is 1) positive inotropic & 2) negative chronotropic effect?
A dangerous electrolyte imbalance that increases digoxin toxicity risk
What is hypokalemia?
These 2 drugs increase digoxin toxicity by raising serum levels
What are quinidine and verapamil?
Hold digoxin and notify provider if HR is below this in adults
What is 60 bpm?
Patients should check this before every dose
What is the apical pulse for 1 minute?
Digoxin is indicated for these 3 rhythms
What is A-FIB, atrial flutter, & SVT?
Most notable visual disturbances
What is blurry vision & yellow/green/halos around objects?
Kidney impairment increases digoxin risk due to this
What is decreased clearance of digoxin?
Trough blood levels are drawn this long after the last dose
What is 6–8 hours after the last dose?
Patients should eat foods high in this electrolyte
What is potassium?
Slowing this node gives ventricles more time to fill
What is the SA node?
Cardiac toxicity may cause these cardiac alterations
What is AV block & dysrhythmias?
ACE inhibitors and ARBs decrease digoxin effects by causing this
What is hyperkalemia?
The antidote used for severe digoxin toxicity
What is digoxin immune Fab (Digibind)?
Patients should NEVER do this if a dose is missed
What is doubling the dose?
Digoxin is used when these three drug classes fail to control heart failure
What are ACE inhibitors, ARBs, and beta blockers?
CNS manifestations of digoxin toxicity include 1) ____, 2) ____, 3) _____, 4) _____
What is dizziness, delirium, fatigue, weakness?
Dopamine increases the risk for this dangerous cardiac effect
What are dysrhythmias?
IV digoxin must be infused over at least this long
What is 5 minutes (10–15 for pulmonary edema)?
Patients should immediately these 4 manifestations of toxicity
What is anorexia, vision changes, delirium, & palpitations?