Digoxin
How long should you take apical pulse before administration of digoxin?
60 seconds
when do you take digoxin?
same time q day.
Diuretic medication consideration?
Report weight gain of 2lbs in 2 days.
Normal lithium range?
0.6-1.2
Most common medication used for anxiety disorders?
SSRI's
Signs and symptoms of digoxin?
Nausea and vomitting
Use of diuretics?
Increase urine flow to reduce excess water flow in body (help treat heart failure)
Thiazide Diuretic action?
Block reabsorption of sodium and chloride ions from the tubule.
Patient teaching when taking lithium?
Take at the same time everyday, risk of toxicity, low sodium diet
Types of anxiety disorders?
GAD, anxiety disorder, panic disorder, phobias, OCD
Antidote for digoxin?
Digi Fab
How to assess for hydration?
skin tugor, oral mucus membranes
Potassium sparing diuretics?
Treat hypertension or heart failure prevent hypokalemia.
Risk of taking St johnsworth and sertraline?
Serotonin syndrome (tinnitus)
Mechanism of action for SSRI's?
inhibits reuptake of seratonin
Digoxin drug level value?
0.5-2 ng mL
Contributing factors to excess fluid
Heart failure, liver disease, renal disease
Patient teaching MAIO'S?
no tyramine, multiple drug interactions
Adverse effects of benzo's
elevated liver enzymes
Therapeutic action of benzo's?
decrease in the level of anxiety to manageable level
Toxic sign of digoxin?
Yellow halos
When to take diuretics?
Take in the morning to prevent nocturia
What should be reported with patient taking TCA's
course tremors, confusion, nystagmus
Long term medication for GAD?
sertraline
Serious adverse effect of SSRI's
suicidal ideation