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Unformatted text preview: • Beta Blocker: metoprolol (Lopressor) • Phosphodiesterase Inhibitor: milrinone (Primacor) Cardiac Glycosides • Medication: digoxin (lanoxin) • Purpose: increased force of myocardial contraction • decrease heart rate • Uses: heart failure • dysrhythmias (atrial fibrillation) Digoxin Toxicity • One of the most commonly encountered drug-related • reasons that patients are admitted to the hospital • Digoxin immune fab (Digibind) : Used to treat digitalis toxicity • Potassium levels (K+): 3.5 to 5.0 mEq/L • Digoxin levels: 0.5 to 2.0 ng/mL Digoxin: Patient Teaching and Nursing Actions • Check the pulse rate and heart rhythm before each dose, hold if: • < 60 beats per minute (adult) • < 70 beats per minute (child) • < 90 beats per minute (infants) • Administer IV digoxin over 5 minutes • Administer at the same time daily • Therapeutic effects: improvement in edema, shortness of breath, anxiety...
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- Spring '13