Mastering Cardiac Glycosides: Digoxin Essentials for Nurses
Mastering Cardiac Glycosides: Digoxin Essentials for Nurses
Jun 15, 2018
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Learn ECGs Fast | JMD Medical Ed on Instagram: "She’s 78. On digoxin. Comes in dizzy, pulse thready. Heart rate? 38. The ECG prints… and it’s smiling but not in a good way. Look closely. Narrow complexes. Regular. No P waves leading them. That’s not sinus. That’s Junctional Bradycardia. And when you see that slow junctional escape at 100 bpm. Same mechanism different speeds. But the cause? The AV node pacing the heart because the SA node failed or was suppressed. And if your patient’s on digoxin
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Nurse Nicole | NCLEX Prep on Instagram: "DIGOXIN — NCLEX QUICK TIPS 💊 🫀 Patho: Digoxin ↑ cardiac contractility by inhibiting the Na⁺/K⁺ pump → ↑ intracellular Ca²⁺ → stronger squeeze, slower HR & AV conduction ⚠️ Narrow therapeutic index = high risk for toxicity 🚨 NCLEX RED FLAGS: • Early toxicity = GI: nausea, vomiting, anorexia • Neuro/visual: confusion, blurred vision, yellow-green halos • Cardiac: bradycardia, dysrhythmias 📊 Know the numbers: • Therapeutic level: 0.5–2.0 ng/mL • Low K⁺ =
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