NUR 316 Study Guide - Quiz Guide: Digoxin Poisoning, Atrioventricular Node, Dromotropic

• School: University of Maine
• Department: Nursing
• Course: NUR 316
• Professor: Susan Wheaton

Document Summary

Decreased conduction through sa & av nodes: therapeutic uses. Indicated for hf, a-fib, a-flutter, a-tachycardia: side effects. Hypokalemia (increased risk of digoxin toxicity: blood work, nursing implications. Administer iv doses very slowly for at least 5 minutes. Do not stop taking this drug before consulting healthcare professional. Digoxin is a powerful drug & must be taken exactly as prescribed, & regular medical checkups needed. Contact hcp if irregular pulse, rapid weight gain, yellow vision, unusual tiredness or weakness, skin rash or hives, swelling of ankles, difficulty breathing: meds. S/sx of toxicity: anorexia, n/v, diarrhea, h/a, yellow halo effect, bradycardia. Controlled hypotension during surgical procedures: side effects. Po: administer dose 1 hr before or 2 hrs after meal with full glass of water. Sl: tablets held under tongue, avoid eating, drinking or smoking until dissolved. Translingual: spray used under the tongue not inhaled. Taper drug gradually over 4-6 weeks after long term therapy. Assess location, duration, precipitating factors of angina pain.