Why is digoxin prescribed? - To improve QOL for patients with HF and for a-fib
What type of drug is digoxin? - Cardiac glycoside
What other meds are typically prescribed in conjunction with digoxin? - ACE, Beta Blockers and loop
diuretics
Digoxin has a long half life therefore a loading dose is typically administered. What is this called? -
digitalization
What are digoxin's indirect effects? - Indirect: stimulation of vagal nerve which depresses SA node and
prolongs conduction to AV node. NEGATIVE DROMOTROPIC EFFECT = decrease in conduction
Why is cardiac output increased? - Due to dromotropic and chronotropic effects
What is digoxin's direct effect? - Strengthens contraction of the heart (inotropic effect)
Why are some of digoxin's adverse effects arrhythmias? - Digoxin depresses the SA node which allows
underlying conduction mechanisms in the ventricles to take over resulting in arrhythmias
Name three effects of digoxin toxicity. - Hypotension, anorexia, purple halos
What should be assessed prior to administering Digoxin? - Apical pulse x 1 min (at least 60)
What are 3 contraindications of digoxin? - V-fib, heart block, hypersensitivity
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