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Digoxin Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
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• 08/18/25
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Digoxin
Generic Name: digoxin
Trade Name: Lanoxin
Indication: CHF, A-fib, 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 arryhtmias
Hypokalemia increase risk for toxcicity
Hypercalcemia ↑ risk for toxicity
Use caution with diuretic use as they may cause electrolyte abnormalities that can lead to toxicity
Assess patient for cardiac arrythmias 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 less than 60)
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