Mechanism of Nursing

Name of Drug Indication Contraindication Side Effect

Actions responsibilities
Generic Name:
Dobutamine Inhibits sodium- Heart failure Contraindicated CNS: fatigue, Before giving
potassium-activated in patients generalized loading dose,
Paroxysmal
Brand Name: adenosine hypersensitive to muscle obtain
triphosphatase, supraventricular
drug and in those weakness, baseline data
Classification: promoting tachycardia
with digitalis- agitation, (heart rate
Inotropic movement of Atrial fibrillation and rhythm,
induced toxicity, hallucinations,
Antiarrhythmic calcium from and flutter blood
ventricular CV:
Cardiac glycoside extracellular to fibrillation, or arrhythmias, pressure, and
intracellular ventricular heart block. electrolytes)
Dosage: cytoplasm and tachycardia EENT: yellow- and ask
Adults: strengthening unless caused by green halos patient about
Loading dose: myocardial heart failure. around visual use of cardiac
0.751.25 mg PO or contraction. Also Patients with images, blurred glycosides
0.1250.25 mg IV. acts on CNS to Wolff-Parkinson- vision, light within the
Maintenance dose: enhance vagal tone, White syndrome flashes, previous 2 to
0.1250.25 mg/day slowing conduction unless the photophobia, 3 weeks.
PO. through the SA and conduction diplopia. Before giving
Lanoxicaps capsules AV nodes. accessory drug, take
GI: anorexia,
Loading dose: pathway has been apical-radial
nausea
0.40.6 mg PO. pharmacologicall pulse for 1
Maintenance dose, y or surgically minute.
0.1 0.3 mg/day PO. disabled. Record and
notify
Route: Elderly patients prescriber of
IV, IM, PO and in those with significant
acute MI, changes
incomplete AV (sudden
block, sinus increase or
 decrease in
bradycardia, pulse rate,
PVCs, chronic pulse deficit,
constrictive irregular
pericarditis, beats and,
hypertrophic particularly,
cardiomyopathy, regularization
renal of a
insufficiency, previously
severe pulmonary irregular
disease, or rhythm). If
hypothyroidism. these occur,
check blood
pressure and
obtain a 12-
lead ECG.
Monitor
digoxin level.
Therapeutic
level ranges
from 0.8 to 2
ng/ml.
Obtain blood
for digoxin
level at least
6 to 8 hours
after last oral
dose,
preferably
just before
next
 scheduled
dose.
Alert:
Excessively
slow pulse
rate (60
beats/minute
or less) may
be a sign of
digitalis
toxicity.
Withhold
drug and
notify
prescriber.
Monitor
potassium
level carefully.
Take
corrective
action before
hypokalemia
occurs.
Hyperkalemia
may result
from digoxin
toxicity.
Look alike-
sound alike:
Don't confuse
digoxin with
doxepin.