Digoxin (Lanoxin)

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What is the Generic Name for Lanoxin?

Digoxin

What is the Trade Name for Digoxin?

Lanoxin

What are the Indications of Digoxin (Lanoxin)?

  • CHF
  • A-fib
  • A-flutter

What are the Actions of Digoxin (Lanoxin)?

Positive inotropic effect (increases force of myocardial contraction), prolongs refractory period, ↓ conduction through SA and AV nodes. Essentially digoxin is given to increase cardiac output and slow the rate.

What is the Therapeutic Class of Digoxin (Lanoxin)?

Antiarrhythmic, inotropics

What is the Pharmacologic Class of Digoxin (Lanoxin)?

Digitalis glycosides

What are the Nursing Considerations of Digoxin (Lanoxin)?

  • Excreted by kidneys
  • Assess patient for hypersensitivity
  • Contraindicated with uncontrolled ventricular arryhtmias
  • Hypokalemia increase risk for toxcicity
  • Hypercalcemia ↑ risk for toxicity
  • Use caution with diuretic use as they may cause electrolyte abnormalities that can lead to toxicity
  • Assess patient for cardiac arrythmias including bradycardia
  • Signs of toxicity include vision changes (blurred vision, yellow, green vision disturbances)
  • Monitor pulse rate for 1 full minute prior to dosing patient (hold for pulse <60)

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