By Judith Hopfer Deglin
A DAVIS'S NOTES BOOK!Instant entry to the entire crucial scientific details you would like! Drawing at the content material of its best-selling guardian reference, Davis's Drug consultant for Nurses, it presents crucial details on over a hundred and seventy best medicines normally prescribed in acute and ambulatory care, together with high-alert and emergency medicinal drugs! speedy locate content material on sufferer safety-with important info on pediatric and geriatric considerations-as good as precautions for all weak populations.
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Additional resources for MedNotes: Pocket Drug Guide, Third Edition
CONTRAINDICATIONS: Hypersensitivity, uncontrolled ventricular arrhythmias, AV block, idiopathic hypertrophic subaortic stenosis, constrictive pericarditis. 5–2 ng/mL). Monitor digoxin levels and assess for signs and symptoms of toxicity: abdominal pain, anorexia, nausea, vomiting, visual disturbances, bradycardia, and other arrhythmias. • Assess apical pulse for 1 min before administering. If pulse rate is Ͻ60 bpm in an adult, Ͻ70 bpm in a child, or Ͻ90 bpm in an infant, or if patient exhibits signs (Continued) D–H D–H DIGOXIN (Continued) or symptoms of toxicity, withhold drug and notify physician or health care professional immediately.
Advise patient to notify health care professional immediately if these or symptoms of CHF occur. Inform patient that these symptoms may be mistaken for those of colds or flu. • Use cautiously in electrolyte abnormalities (may predispose to toxicity), geriatric patients (very sensitive to toxic effects), MI, renal impairment, obese patients (dose should be based on ideal body weight), pregnancy and lactation. • Thiazide and loop diuretics, mezlocillin, piperacillin, ticarcillin, amphotericin B, and corticosteroids, which cause hypokalemia, may increase the risk of toxicity.
Intermittent Infusion: Rate: Dilute and administer over 15–20 min. ■ ADVERSE REACTIONS AND SIDE EFFECTS: Confusion, dizziness, drowsiness, hallucinations, ARRHYTHMIAS, druginduced hepatitis, nausea, AGRANULOCYTOSIS, APLASTIC ANEMIA. ■ CONTRAINDICATIONS: Hypersensitivity. ■ CAUTIONS: May increase blood levels of chlordiazepoxide, diazepam, and midazolam, labetalol, metoprolol, propranolol, caffeine, calcium channel blockers, carbamazepine, chloroquine, lidocaine, metronidazole, moricizine, pentoxifylline, phenytoin, propafenone, quinidine, quinine, metformin, sulfonylureas, tacrine theophylline, triamterene, tricyclic antidepressants, valproic acid, and warfarin.