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Pharm 38 39 - Digoxin - Lidocaine

AB
cardiotonicsdrugs increase efficiency improve contraction heart
sympathetic nervous system increaseepinephrine - norepinephrine
inotropic agentscauses heart to beat more forcefully
chronotropic agentseffects rate of heart beat
dromotropic agentsslows conduction down
L ventricle dysfunction causespulmonary problems
R ventricle dysfunction causesvein distension - swollen ankles
digoxin overallnarrow therapeutic window, rapid onset, short duration
digoxin - cardiotonics family how do they workincrease cardiac output - increase force of contraction
digoxin adverse reactionsarrhythmias, h/a weakness drowsy, gi upset
toxic digoxin S & Sgreen/yellow halo hypotension main problem
digoxin teachingstake pulse, wt gain, green/yellow halo, vomit nausea
lab tests for digoxinrenal/hepatic, ekg, cbc electrolyte
digitalizationstarting therapy - loading dose
normal digoxin levels0.5 - 2 nanograms
antiarrhythmic what is itirregularity in heart rate
lidocaine - how does it workslows down heart and allows conduction to begin
antidote for digoxindigibind
dixogin used forHeart failure
cardiotonics akacardiac glycosides digitalis glycosides



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