FOR PEDIATRICS:
ACTIVE LEARNING TEMPLATE: Digoxin ( Please fill every box)
Homework Answers
ANSWER
Digoxin for pediatrics.
* Mechanism of action.
* It inhibit sodium pump (Na+-K+-ATPase) which leads to
influx of calcium by a sodium and calcium exchange mechanism.
*It also reduces the aldosterone,norepinephrine and renin levels and
and stimulate diuresis.
* Parasympathetic system activated by the action of digoxin which slows
conduction of impulses through AV node.
* Therapeutic use.
Used in treatment of
* Atrial fibrillation.
* Atrial flutter.
* Congestive heart failure.
* Complications.
* Cardiac dysrythmias. (Bradycardia).
* Hypokalemia.
* Dizziness.
* Heart block.
* Blurried vision.
* Contraindications / precautions.
*Digoxin is not used in patients with
* Sinus bradycardia.
* Cardiomyopathy.
* Cor pulmonale.
* Hypercalcemia.
* Myocardial infarction.
* Hypomagnesemia.
* Renal failure.
* Interactions.
Drugs that enhance digoxin toxicity.
* Diuretics
* Calcium.
* Verapamil.
* Methyldopa.
Drugs that reduce digoxin level.
* Neomycin.
* Antacids.
* Metachlopromide.
* Phenobarbiturate.
* Rifampicin.
* Medication administration.
Pediatric dose.
Tablet - 0.125 mg, 0.25 mg.
Oral solution - 0.05 mg/mL.
Injectable solution - 0.1 mg/mL,0.25 mg/mL.
* Nursing interventions.
* Nurse should check electrolyte level of a patient who undergo digoxin
therapy to avoid digoxin toxicity.
* Assess the heart rate of the patient and do not give administer digoxin if
the patient has bradycardia.
* Continous monitoring needed to identify any signs of dysrhythmia during
treatment.
* If digitalis toxicity occur stop digitalis infusion and give parenteral or oral
pottasium supplements and digibind (Antidote) to overcome the toxicity.
* In the case of severe toxicity begin antidigoxin immunotherapy as per
physicians order.
* Client education.
* Educate the care givers of child about abnormalities may occur during
digoxin therapy like changes in heart rate and rhythm and if any changes
observed inform the health care provider immediately and stop giving next
dose of the drug.
*Evaluation of medications effectiveness.
* Effect of digoxin therapy can evaluate by
* Assess the heart rate and rhythm of the patient after digoxin
therapy.
Add Answer to:
FOR PEDIATRICS:
ACTIVE LEARNING TEMPLATE: Digoxin ( Please fill every box)
ACTIVE LEARNING TEMPLATE STUDENT NAME...
ONE TEMPLATE ON DIGOXIN AND ONE ON LASIX ACTIVE LEARNING TEMPLATE STUDENT NAME MEDICATION CATEGORY CLASS...
ONE TEMPLATE ON DIGOXIN AND
ONE ON LASIX
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others- Amphotericn B, Nystatin
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Active Learning Template: Medication: Captopril
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(Potassium Chloride) medication template
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ONE TEMPLATE ON DIGOXIN AND
ONE ON LASIX
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Carboprost ( please fill every box)
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others- Amphotericn B, Nystatin
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Active Learning Template: Medication: Captopril
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