Drug studies contain drug names (generic and trade name), doses, routes of administration, drug classifications (general and functional), mechanisms of action, indications and contraindications, adverse reactions, and nursing responsibilities upon administration of Digoxin and Furosemide.
Complete Saunders Nursing Drug Handbook 2024 Solution Manual.
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University Of Southern Philippines
Nursing Pharmacology (NGCM107)
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Source: 2019, Saunders Nursing Drug Handbook
Name of Mechanism of Adverse
Classification Indication Contraindication Nursing Responsibilities
Drug Action Reactions
Generic General Inhibits -Treatment of -hypersensitivity CNS: Before:
Name: Classification: sodium/potassiu mild to to digoxin headache, -Assess for cautions
Digoxin Cardiac m-activated moderate -ventricular weakness, and contraindications
Glycoside adenosine heart failure fibrillation drowsiness, -Perform baseline
Trade Name: triphosphate, -Control of -renal vision changes physical assessment
Lanoxin Functional promoting ventricular impairment -Obtain baseline status
Classification: movement of response rate -sinus nodal CV: arrhythmia for weight
Max Dose: Cardiotonic calcium from in patients disease -Assess patient’s heart
250 mcg Agent extracellular to with chronic -acute GI: GI upset, rate and blood pressure
intracellular atrial myocardial anorexia -Assess apical pulse
Min Dose: cytoplasm thus fibrillation infarction -Assess urinary output
62.5 mcg strengthening -Patients with -2nd or 3rd degree Alert: Signs and pattern
myocardial atrial flutter or heart block and symptoms -Obtain baseline ECG
control and paroxysmal -hyperthyroidism, of digitalis -Assess serum
increasing atrial hypothyroidism toxicity are electrolyte and renal
contractility. tachycardia -hypokalemia anorexia, function
-Fetal -hypocalcemia nausea, -Assess if patient is
Tachycardia vomiting, pregnant or lactating
malaise,
depression, During:
irregular heart -Check drug dose and
rhythms, visual preparation
changes -Ensure maintenance of
(Antidote is emergency drugs ready
digoxin on standby (potassium
immune FAB) salts and lidocaine for
arrhythmia, digoxin
Breastfeeding: immune FAB for digoxin
Drug may be toxicity)
distributed in
, breastmilk, -Count apical pulse for
premature one full minute before
infants are administering
more -Do not administer drug
susceptible to with food (food with
toxicity increased fiber or pectin
decreases drug
absorption) or antacids
-Provide comfort
measures
After:
-Apical pulse is taken 1
hr after administration. If
it remains low,
document it, withhold
dose and inform
physician
-Continue monitoring
pulse for bradycardia
and EKG for arrhythmia
1 to 2 hrs after
administration
- Monitor serum
potassium, magnesium,
calcium, renal function
-Monitor serum digoxin
level as ordered
(Normal: 0.5-2 ng/mL)
-Promote rest periods
and relaxation
techniques
-Weigh patient daily to
monitor for fluid
retention
-Educate patient to not
increase or skip doses,
and to not take OTC
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