Questions| With Correct Answers.
1). What is digoxin and why is the patient taking it?
Ans: It is an antiarrhythmic medication that treats heart failure, atrial fibrillation, atrial
flutter, and paroxysmal atrial tachycardia.
2). How does digoxin work?
Ans: 1. It increases the force of myocardial contraction
2. It prolongs refractory period of the AV node
3. It decreases conduction through the SA and AV nodes
3). What are the desired outcomes of digoxin therapy?
Ans: 1. Decrease in severity of HF
2. Increase in cardiac output
3. Decrease in ventricular response in atrial tachyarrhythmias
4. Termination of paroxysmal (suddenly recurring) atrial tachycardia
4). What are the common side effects of digoxin?
Ans: Fatigue
Bradycardia
Anorexia
Nausea
Vomiting
5). What are possible life-threatening adverse reactions to digoxin?
Ans: Arrhythmias
6). What should be assessed when giving digoxin?
Ans: Monitor apical pulse 1 full minute before administering. Hold if pulse is <60 bpm.
Assess lungs for crackles
Assess for edema
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