Digoxin

Revision as of 21:50, 18 November 2011 by Rossdonaldson1 (talk | contribs)

Adult Dosing

  • Loading dose = 0.25 mg IV q2hr until effect (max total = 1.5 mg

Contraindications

  • WPW
    • Increases conduction velocity in atrial tissue

Indications

  • RVR control in a-fib/flutter, PSVT

Mechanism of Action

  • Inhibits NaK pump
    • Positive inotropy
  • Negative chronotropy/dromotropy
    • Indirect vagal stimulator

Adverse Drug Rxns

  • GI - N/V, diarrhea, abd pain
  • CV - Bradycardia, SA/AV block, ventr arrhythmias

Kinetics

Onset of action = 1.5-4hr (IV)

See Also