MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C57352.AC35D9D0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C57352.AC35D9D0 Content-Location: file:///C:/26733656/DL16.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"

Digoxin (Lanoxin)

CLASS:

Cardiac glycosi= de

ACTION:

Increased force= of cardiac contraction through its effects on sodium-potassium ATPase sys= tem
Significantly increases stroke volume, thus increasing cardiac output
Decreases AV no= dal conduction, thus slowing heart rate

INDICATIONS:

CHF<= /span>
SVT, especially atrial fibrillation and atrial flutter

CONTRAINDICATIONS:

Ventricular fibrillation/ventricular tachycardia
2^nd = or 3^rd degree heart block
Not given to pa= tient showing signs of digitalis toxicity

Cardiac arrhy= thmias, nausea and vomiting, headache, visual disturbances (yellow vision), drowsiness

PRECAUTIONS:

Constantly moni= tor for toxicity
Patients with M= I
Toxicity is potentiated in patients with hypokalemia, hypomagnesemia, hypercalcemi= a
Crosses placent= a, therefore affects fetal heart

SIDE EFFECTS:

Anorexia/abdomi= nal pain/diarrhea
Fatigue
Depression=
Drowsiness=
Yellow vision
Hallucinations<= o:p>
Cardiac arrhyth= mias

DOSAGE/ROUTE: (>12 years old)

0.25 – 0.= 5 mg slow IV push

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