CARDIAC SYSTEM MEDICATIONS - CARDIAC SYSTEM MEDICATIONS...

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CARDIAC SYSTEM MEDICATIONS CARDIAC MEDICATIONS FOR HEART FAILURE COMMON USES WHAT I NEED TO KNOW AS A BRAND NEW NURSE Cardiac Glycosides Common Examples: Digoxin (Lanoxin) Indicated for the treatment of heart failure and dysrhythmias * Monitor Digoxin levels, therapeutic levels should be between 0.5- 2ng/ml. * Monitor K+, low serum potassium levels can increase the potential for toxicity. * Monitor pulse and teach patient to take their pulse. Hold for pulse < 60 BPM in adults. * Administer IV doses slowly over 5 minutes * A loading or “Digitalizing” dose may be given to get the serum levels within therapeutic range. *Common adverse effects include fatigue, anorexia and bradycardia. Monitor for signs of toxicity which include: HA, vertigo, photophobia, yellow-green halos, tachycardia and heart block Phosphodiesterase Inhibitors Common Examples: Milrinone (Primacor) Indicated for the short-term management of heart failure. * Adverse effects include ventricular arrhythmias, hypotension, chest pain, hypokalemia, tremors and thrombocytopenia.
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