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This document provides information on the drug digoxin including its action, indications, contraindications, side effects, and important nursing considerations. It also provides tables with the same information for the drugs captopril and furosemide. For digoxin, its main action is to increase the force of myocardial contraction and reduce heart conductivity. It is indicated for congestive heart failure and atrial fibrillation. Contraindications include digitalis toxicity. Important nursing considerations include monitoring for side effects and assessing electrolyte levels. The tables provide similar overviews of captopril as an ACE inhibitor and furosemide as a loop diuretic.
This document provides information on the drug digoxin including its action, indications, contraindications, side effects, and important nursing considerations. It also provides tables with the same information for the drugs captopril and furosemide. For digoxin, its main action is to increase the force of myocardial contraction and reduce heart conductivity. It is indicated for congestive heart failure and atrial fibrillation. Contraindications include digitalis toxicity. Important nursing considerations include monitoring for side effects and assessing electrolyte levels. The tables provide similar overviews of captopril as an ACE inhibitor and furosemide as a loop diuretic.
This document provides information on the drug digoxin including its action, indications, contraindications, side effects, and important nursing considerations. It also provides tables with the same information for the drugs captopril and furosemide. For digoxin, its main action is to increase the force of myocardial contraction and reduce heart conductivity. It is indicated for congestive heart failure and atrial fibrillation. Contraindications include digitalis toxicity. Important nursing considerations include monitoring for side effects and assessing electrolyte levels. The tables provide similar overviews of captopril as an ACE inhibitor and furosemide as a loop diuretic.
DRUG NAME ACTION INDICATION CONTRAINDICAT SIDE EFFECTS NURSING CONSIDERATIONS
IONS Generic: Digoxin is a cardiac CHF Digitalis Extra History: Allergy to digitalis glycoside which has Atrial toxicity, beats, preparations, ventricular Digoxin positive inotropic fibrillatio ventricular anorexia, tachycardia, ventricular fibrillation, activity characterized n tachycardia nausea heart block, sick sinus syndrome, Brand: by an increase in the /fibrillation, and IHSS, acute MI, renal insufficiency, force of myocardial obstructive vomiting. decreased K+, decreased Mg2+ Lanoxin contraction. It also cardiomyop increased Ca2+, pregnancy, reduces the athy. lactation Classification: conductivity of the Arrhythmias Physical: Weight; orientation, affect, heart through the due to reflexes, vision; P, BP, baseline Cardiac Glycoside atrioventricular (AV) accessory ECG, cardiac auscultation, node. Digoxin also pathways peripheral pulses, peripheral Dose: exerts direct action (e.g. Wolff- perfusion, edema; R, adventitious on vascular smooth Parkinson- sounds; abdominal percussion, Loading dose, 0.75– muscle and indirect White bowel sounds, liver evaluation; 1.25 mg PO effects mediated syndrome). urinary output; electrolyte levels, primarily by the LFTs, renal function tests Maintenance dose, autonomic nervous Report unusually slow pulse, 0.125–0.25 mg/day system and an irregular pulse, rapid weight gain, PO. increase in vagal activity. loss of appetite, nausea, diarrhea, vomiting, blurred or “yellow” vision, unusual tiredness and weakness, swelling of the ankles, legs or fingers, difficulty breathing. DRUG NAME ACTION INDICATION CONTRAINDICAT SIDE EFFECTS NURSING CONSIDERATIONS IONS Generic: Blocks ACE from Treatment of Contraindicate Tachycardi Assessment converting hypertension d with allergy a Captopril angiotensin I to alone or in to captopril, Dry mouth History: Allergy to captopril, history angiotensin II, a combination history of GI Upset of angioedema, impaired renal Brand: powerful with thiazide- angiodema. function, CHF, salt or volume vasoconstrictor, type \u2022 Use depletion, pregnancy, lactation Capoten, leading to diuretics cautiously Physical: Skin color, lesions, turgor; decreased blood with impaired T; P, BP, peripheral perfusion; Classification: pressure, decreased renal mucous membranes, bowel aldosterone function; sounds, liver evaluation; urinalysis, ACE inhibitor, secretion, a small Treatment of CHF; salt or LFTs, renal function tests, CBC Antihypertensive increase in serum CHF in volume and differential potassium levels, patients depletion, Dose: and sodium and fluid unresponsiv Administer 1 hr before meals loss; increased e to Heart failure Initial: prostaglandin conventional Monitor patient closely for fall in BP 6.25-12.5 mg 2-3 synthesis also may therapy; secondary to reduction in fluid times/day. be involved in the used with volume (due to excessive antihypertensive diuretics and perspiration, and dehydration, Max: 50 mg 3 action. digitalis vomiting, or diarrhea); excessive times/day. hypotension may occur. Reduce dosage in patients with impaired renal function DRUG NAME ACTION INDICATION CONTRAINDI SIDE NURSING CONSIDERATION CATIONS EFFECTS
Inhibits reabsorption of -CHF -Allergy to - decreased BP 1. increased risk of photosensitivity, use
Na & Cl in the ascending sulfonylureas sunscreens Generic loop of henle and distal -Hypertension - Name: renal tubule, interfering -anuria Hyperglycemia 2. high dosages of IV may cause ototoxicity -Edema Furosemide with the Cl-binding co- -hepatic coma - Decreased 3. A precipitate may form if mixed with gentamicin, transport system, hence, potassium netilmicin, milnirone, in either D5W or PNSS causing increase -severe levels excretion of water, electrolyte 4. Note closely for signs and symptoms of vascular Brand Name: depletion thrombosis, embolism, circulatory collapse sodium, chloride, Lasix magnesium, and calcium. 5. take on the morning with empty stomach to enhance absorption and avoid interruption of sleep. May take with food or milk to lessen GI upset. Classification Absorption: Fairly rapidly absorbed from the GI 7. Report if presence of adverse reaction Loop Diuretic tract (oral). 8. Record BP and wights; report any gain of Distribution: Crosses the >2lb/day or >5-10 lb per week. placenta and enters Dosing: breast milk. Protein- 9. supplement with vegetables and fruits that are binding: 99%. high in potassium such as banana, potatoes, 14 mg per tab, Excretion: Via urine (as mangoes, oranges, peaches or dried dates. 1 tab OD PO unchanged); 2 hr (elimination half-life), may 10. NSAIDs and Beta-blockers may cause sodium be prolonged in neonates retention. and renal and hepatic impairment.