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ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7

Medication

STUDENT NAME _____________________________________

MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________

CATEGORY CL ASS ______________________________________________________________________

ACTIVE LEARNING TEMPLATE:

PURPOSE OF MEDICATION

Expected Pharmacological Action

Complications

Contraindications/Precautions

Interactions

Medication Administration

Evaluation of Medication Effectiveness

Therapeutic Use

Nursing Interventions

Client Education

Ariel Kushnir

Digoxin (Lanoxin)

Cardiac glycoside

Increases force and velocity of myocardial contraction,

resulting in positive inotropic effects. Decreases

conduction rate and increases effective refractory

period of AV node

May be given PO or IV

Most commonly given via IV push and

administered slowly over 5 minutes

A loading dose is given first followed by

subsequent doses every 6-8hrs and a QD

maintenance dose

Dosage adjustments may be required for

pts who are debilitated, elderly, or have

implanted pacemakers due to toxicity risk

Arbutimine, quinidine, amphotericin B, macrolide

antibiotics, propafenone, cyclosporine, verapamil,

hydroxychloroquine, trimethoprim, ketoconazole,

amiodarone

Hx/presence of digitalis toxicity/idiosyncratic reaction to

digoxin, v-fib, v-tach (unless HF occurs unrelated to

digoxin therapy)

-Arrythmias

-Heart block

-Electrolyte imbalances

For Tx of mild to moderate heart failure with

rapid digitization

Expect to treat underlying thiamine

deficiency

Parenteral doses may be given diluted

or undiluted

Take apical pulse before each dose

and notify provider if below 60bpm

Obtain frequenct ECG for elderly

patients

Monitor serum potassium levels

Normal cardiac rhythm, proper functioning of the heart

muscles, adequate tissue perfusion/oxygenation

Take as prescribed; possible toxicity from taking

too much, decreased effectiveness if taking too

little

Take pulse before taking med, notify HCP if

pulse is below 60bpm

Take missed doses within 12 hours of scheduled

dose - do not double up

Notify HCP if experiencing pulse changes/GI

distress

Talk to HCP before taking any OTC

meds/suplements

Digoxin med sheet

Med Surg 2 (Nurs 211L)

West Coast University

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