➢ If a patient is hypokalemic, they are at risk for digoxin toxicity ➢ĜHF patients are usually on loop diuretics which can result in hypokalemia as well ▪ğirst sign is anorexia (loss of appetite)
Know the signs and symptoms of digoxin toxicity: Dysrhythmias (atrial fibrillation) = Because of the negative dromotropic effectĬomplications: Digoxin toxicity= Therapeutic level of digoxin: 0.8-2.0.Negative dromotropic effect= Slows down rhythm.▪ Have to count for the full minute ▪ Fifth intercostal space, midclavicular line Negative chronotropic effect= Decreases heart rate: Apical pulse has to be at least 60 before you give the medication.Positive inotropic effect= Increases contraction.West Coast University: NURS MISC Week 6 Pharmacology Lecture Notes 1ĬARDIAC GLYCOSIDES AND HEART FAILURE (Chapter 21, )Ĭardiac glycosides= Prot.
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