3 Written Questions

1. -monitor pulse and report when less than 60 or greater than 100
   -maintain K levels
   -teach s/s of toxicity
   -report wt gain of more than 2lb per day and SOB
2. -CHF
   - control of arrhythmias
3. -very narrow therapeutic range
   -toxicity:
   >GI- anorexia, NV
   >neurological:HA, restlessness, confusion, weakness, green or yellow halos!
   >bradycardia and other arrhythmias

3 Multiple Choice Questions

1. -no cure
   -measured by ejection fractions
   -CHF- left sided heart failure
   -R sided- wt. gain and edema
   1. SE of glycosides
   2. HF
   3. NI of glycosides
   4. drugs for HF
2. -digoxin (Lanoxin and Digitek)
   -made fro the digitalis plants that used to be poisons
   1. cardiac glycosides
   2. PE for glycosides
   3. SE of glycosides
   4. NI of glycosides
3. -treat symptoms by decreasing heart rate, increasing contractility, and reducing heart workload
   -diuretics
   -ACE inhibitors
   -beta blockers
   -vasodialators
   -cardiac glycosides
   1. NI of glycosides
   2. HF
   3. PE for glycosides
   4. drugs for HF

3 True/False Questions

1. glycoside mech. of action → -slows HR
   -increases force of contraction

   True        False

2. Antidote for Digoxin → digoxin immune fab (Ovine)

   True        False

3. NI of glycosides → -has a very long half life
   -take and document the apical pulse for a full min. before admin. (call MD if less than 60 for adults and 70 for peds.)
   -monitor K levels (hypokalemia potentiates toxicity)
   -monitor leves and I/O

   True        False