lOMoARcPSD|17706574
D441 Pharmacology study
Medical Dosage Calculations and Pharmacology (Western Governors University)
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Downloaded by Nicholas Marks ()
, lOMoARcPSD|17706574
Digoxin
Used for heart failure.
S/S: GI upset, anorexia, vision changes
Nursing considerations:
- Check apical pulse, <60 BPM = hold medication
- Monitor potassium (low k+ increases risk for toxicity)
- Draw digoxin levels (normal 0.5-2) OVER 2 IS TOXIC
If toxin occurs:
- Hold medication and notify HCP
- Admin digoxin immune fab (If ordered)
- Treat electrolytes imbalances (hypokalemia)
- Continuous cardiac monitoring
Patient teaching:
Add Headings (Format > Paragraph styles) and they will appear in your table of contents.
- Take at the same time daily; do not skip or double doses
Lithium
Used as a mood stabilizer for bipolar disorder
S/S: coarse tremors, confusion, hypotension, seizures, tinnitus
Nursing considerations:
- Monitor lithium levels (therapeutic range 0.6-1.2; OVER 1.5 IS TOXIC)
- Monitor sodium, BUN, creatinine
- Ensure adequate sodium & fluid intake
If toxin occurs:
- Hold medication; notify HCP
- Prepare for possible gastric lavage or hemodialysis
- Support airway and cardiovascular function
Patient teaching:
- Maintain consistent salt & fluid intake
- Avoid dehydration and excessive sweating
- Take with food to avoid GI upset
Heparin/Enoxaparin
Used for IV/Subcutaneous anticoagulant
S/S: low platelets, bleeding, bruising, spinal/epidural hematoma
Nursing considerations:
- Monitor aPTT (normal 65-105 seconds)
- Access for bleeding (gums, urine, stool)
If toxin occurs:
- Stop infusion immediately
- Administer protamine sulfate (antidote)
- Apply pressure to bleeding site
Patient teaching:
- Use a soft bristle toothbrush, electric razor
- No NSAIDs or Aspirin
Downloaded by Nicholas Marks ()
D441 Pharmacology study
Medical Dosage Calculations and Pharmacology (Western Governors University)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by Nicholas Marks ()
, lOMoARcPSD|17706574
Digoxin
Used for heart failure.
S/S: GI upset, anorexia, vision changes
Nursing considerations:
- Check apical pulse, <60 BPM = hold medication
- Monitor potassium (low k+ increases risk for toxicity)
- Draw digoxin levels (normal 0.5-2) OVER 2 IS TOXIC
If toxin occurs:
- Hold medication and notify HCP
- Admin digoxin immune fab (If ordered)
- Treat electrolytes imbalances (hypokalemia)
- Continuous cardiac monitoring
Patient teaching:
Add Headings (Format > Paragraph styles) and they will appear in your table of contents.
- Take at the same time daily; do not skip or double doses
Lithium
Used as a mood stabilizer for bipolar disorder
S/S: coarse tremors, confusion, hypotension, seizures, tinnitus
Nursing considerations:
- Monitor lithium levels (therapeutic range 0.6-1.2; OVER 1.5 IS TOXIC)
- Monitor sodium, BUN, creatinine
- Ensure adequate sodium & fluid intake
If toxin occurs:
- Hold medication; notify HCP
- Prepare for possible gastric lavage or hemodialysis
- Support airway and cardiovascular function
Patient teaching:
- Maintain consistent salt & fluid intake
- Avoid dehydration and excessive sweating
- Take with food to avoid GI upset
Heparin/Enoxaparin
Used for IV/Subcutaneous anticoagulant
S/S: low platelets, bleeding, bruising, spinal/epidural hematoma
Nursing considerations:
- Monitor aPTT (normal 65-105 seconds)
- Access for bleeding (gums, urine, stool)
If toxin occurs:
- Stop infusion immediately
- Administer protamine sulfate (antidote)
- Apply pressure to bleeding site
Patient teaching:
- Use a soft bristle toothbrush, electric razor
- No NSAIDs or Aspirin
Downloaded by Nicholas Marks ()
