Digoxin and Furosemide Nursing Pharmacology

Summary:

The 2019 Saunders Nursing Drug Handbook provides detailed information about Digoxin and Furosemide drugs.

Digoxin traded as Lanoxin, is a Cardiac Glycoside and a Cardiotonic Agent with a dosage range of 62.5 to 250 mcg. It promotes calcium movement from extracellular to intracellular cytoplasm, strengthening myocardial control, and increasing contractility. It treats heart failure and controls ventricular response in atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia, and fetal tachycardia. It’s contraindicated in conditions such as hypersensitivity to digoxin, renal impairment, heart blocks, thyroid issues, and specific electrolyte imbalances. Adverse reactions may include CNS, cardiovascular, and gastrointestinal disturbances. Nursing responsibilities include careful assessment, dosage administration, monitoring for signs of toxicity, promoting comfort measures, and patient education.

Furosemide, traded as Lasix, is a Loop Diuretic that ranges from 20 to 80 mg. Its function lies in the excretion of specific electrolytes and water, lowering blood pressure and leading to diuresis. Indicated for acute heart failure, edema associated with heart failure and renal or hepatic diseases, acute pulmonary edema, and hypertension, Furosemide’s contraindications include hypersensitivity, hepatic conditions, severe electrolyte depletion, and certain systemic diseases. Expected reactions may involve increased urinary frequency/volume, gastrointestinal disturbances, and occasional neurological or skin problems. Vigorous diuresis might lead to profound water loss or electrolyte depletion. Nursing responsibilities encompass assessment, administering the drug considering the patient’s condition, monitoring vital signs and hydration, and educating the patient about potential side effects and dietary considerations.

Excerpt:

Digoxin and Furosemide Nursing Pharmacology