VDFJHD
VDFJHD
VDFJHD
Mode of Action: Acts by making the myocardial systolic contraction stronger and faster. It also slows
down the speed of electrical signals going through the atrioventricular node. It works faster and doesn't
last as long as digitalis and digitoxin.
Child: PO/IV
< 2y/o, 40-60 mcg/kg;
2-10 y/o 20-40 mcg/kg;
>10 y/0 10-15 mcg/kg(1.5-2 mcg)
Neonate:30-50 mcg/kg
Premature Neonate:20 mcg/kg
Side & Adverse Effects: Tachycardia, Headache, Dizziness, Mental disturbances, Nausea and Vomiting,
Diarrhea, Anorexia, Blurred or yellow vision, Depression, Vertigo
Drug Interactions: Amiodarone, Beta blockers, calcium channel blockers, Potassium-depleting diuretics,
Ketoconazole, vemurafenib, Sucralfate
3. Make sure to tell the difference between Lanoxicaps and Lanoxin because the doses are very
different.
Hold dose if patients have pulse rate of <60 bpm in an adult, <70 bpm in a child, or <90 bpm in an infant,
notify physician immediately.
6. Avoid IM injections
8. Inform patient about the indication and side effects of the medication
9. Have emergency equipment ready; have K+ salts, lidocaine, phenytoin, atropine, and cardiac
monitor readily available
Health Teachings: Follow-up visits, blood tests are an important part of therapy, do not increase or skip
doses, do not take over-the-counter medication without consulting physician, take pulse at the same
time each day, and record it on a calendar, report decreased appetite, nausea/vomiting, diarrhea, visual
changes.
Reference:
Kizior, R. J., & Hodgson, K. (2020, May 18). Saunders Nursing Drug Handbook 2021. Saunders.
R. (2015, January 9). digoxin Nursing Considerations & Management - RNpedia. RNpedia.
https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-notes/digoxin/