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Pharmacology | Questions with
Correct Answers | Grade A | 100%
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Question:
What are the complications of Digoxin?
Answer:
Bradycardia, hypotension, cardiotoxicity, visual disturbances.
Normal Therapeutic Levels: 0.8 - 2.0 ng/mL.
Question:
What are the main types of heart failure?
Answer:
Left-sided heart failure: Pulmonary symptoms like dyspnea, cough, and
oliguria.
Right-sided heart failure: Systemic congestion, including edema, jugular vein
distention (JVD), and weight gain.
,Question:
What medications are commonly used for heart failure?
Answer:
Diuretics, ACE inhibitors, ARBs, beta-adrenergic blockers. Cardiac glycosides
like digoxin are used if these medications do not control symptoms.
Question:
What are the therapeutic effects of digoxin?
Answer:
Digoxin increases the force of myocardial contraction (positive inotropic
effect) and decreases the heart rate (negative chronotropic effect), improving
cardiac output.
Question:
What are signs of digoxin toxicity?
Answer:
Bradycardia, nausea, vomiting, diarrhea, anorexia, visual disturbances
(yellow-green halos), and dysrhythmias. Digoxin toxicity is worsened by
hypokalemia.
, Question:
What is the therapeutic range for digoxin levels?
Answer:
The therapeutic range for digoxin levels is 0.8-2.0 ng/mL.
Question:
How is digoxin toxicity treated?
Answer:
Stop digoxin, monitor potassium levels, treat dysrhythmias with lidocaine,
and administer DigiBind or activated charcoal for severe toxicity.
Question:
What are contraindications for digoxin use?
Answer:
Digoxin is contraindicated in patients with ventricular fibrillation, ventricular
tachycardia, and certain degrees of heart block. Caution is advised in patients
with hypokalemia, advanced heart failure, and kidney impairment.