Digoxin: Class
Inotropic agent
Digoxin: Action
↑ Force of contraction, ↑ refractory period of AV node, ↑ total peripheral resistance
Digoxin: Indications
CHF, reentry SVT, ventricular control rate and A-flutter and A-Fib
Digoxin: Contraindications
V– fib, V–tach, digitalis toxicity, Hypersensitivity
Digoxin: Adult dose
Loading dose of 4-6mcg/kg over 5m, 2nd and 3rd dose boluses of 2-3mcg/kg at 4-8h intervals
Digoxin: Special considerations
Must be on EKG, WPW arrhythmia; may cause dysrhythmias, N/V, rashes