Digoxin, antihypertensives, and antiarrhythmics with the single most important nursing consideration for each drug class.
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- What drug class is digoxin?
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Cardiac glycoside- What is the primary therapeutic effect of digoxin on the heart?
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Increases the force of myocardial contraction while decreasing heart rate- Before administering digoxin, what must the nurse always assess first?
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The apical pulse, counted for one full minute- Digoxin should be held and the prescriber notified if the apical pulse is below ____ in an adult.
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60 bpm- The therapeutic serum level range for digoxin is ____.
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0.5 to 2.0 ng/mL- What are early signs of digoxin toxicity?
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Nausea, vomiting, and anorexia- What classic visual disturbance is associated with digoxin toxicity?
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Seeing yellow-green halos around lights- Which electrolyte imbalance increases the risk of digoxin toxicity?
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Hypokalemia (low potassium)- What is the antidote for severe digoxin toxicity?
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Digoxin immune Fab (Digibind)- What suffix do most ACE inhibitor generic drug names share?
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-pril (e.g., lisinopril, captopril)- What serious adverse reaction must a nurse monitor for with ACE inhibitors?
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Angioedema (swelling of the face, lips, or tongue)- What common bothersome side effect causes many patients to stop taking ACE inhibitors?
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A persistent dry cough- Which electrolyte should be monitored closely in patients taking ACE inhibitors?
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Potassium, due to risk of hyperkalemia- What suffix do most ARB (angiotensin receptor blocker) generic drug names share?
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-sartan (e.g., losartan, valsartan)- What advantage do ARBs have over ACE inhibitors?
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They do not cause the persistent dry cough
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