Photo of the drug Brand name and Form of drug Drug preparation Nursing Considerations and Patient

Generic name teaching

Elixir: Administration: -Drug induced arrhythmias may
Brand name: 0.05mg/mL(pediatric) PO increase the severity of heart failure
Lanoxin, Before giving loading dose, obtain baseline and hypotension
Lanoxin Pediatric Injection: data (HR and rhythm, BP and electrolyte
0.1 mg/mL(pediatric) levels) and ask patient about use of -In children, cardiac arrhythmias are
Generic name: 0.25 mg/mL cardiac glycosides within the previous 2 to usually early signs of toxicity
Digoxin 3 weeks
Tablets: Before giving drug take apical- radial pulse -Loading dose is usually divided over
Therapeutic class: 0.125 mg for 1 minute. Record and notify the first 24 hours with about half the
Inotropes 0.1875 mg Prescriber of significant changes (sudden loading dose given in the first dose
0.25 mg increase or decrease in pulse rate, pulse
Pharmacologic deficit, irregular beats, and particularly -Monitor digoxin level. Therapeutic
class: Cardiac regularization of a previously irregular level ranges from 0.8 to 2
glycosides rhythm) if these occur, check BP and nannograms/mL. Obtain blood for
obtain a 12 lead ECG. digoxin level at least 6 to 8 hours after
IV last oral dose, preferably just before
Before giving loading dose, obtain next scheduled dose
baseline data (heart rate and rhythm, BP
and electrolyte levels ) and ask patient -Teach patient and a responsible
about use of cardiac glycosides within the family member about drug action,
previous 2 to 3 weeks dosage regimen, how to take pulse,
Before giving drug, take apical radial pulse reportable signs and follow up care
for 1 min. Record and notify prescriber of
significant changes(sudden increase/ -Tell patient to report pulse rate less
decrease in pulse rate, pulse deficit, than 60 beats/ minute or skipped
irregular beats and regularization). If these beats or other rhythm changes
occur, check BP and obtain a 12 lead ECG
Source: 442-445 Dilute fourfold with D5W, NSS, or sterile -Encourage patient to eat a consistent
(2016 nursing drug water for injection to reduce the chance of amount of potassium rich foods and
handbook wolters kluwer) precipitation. Instruct patient to report any adverse
Infuse drug slowly over at least 5 minutes reactions(visual disturbances, nausea
Protect solution form sunlight and vomiting, diarrhea)