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