PHARMACOLOGY HESI EXAM 2023\2024ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS .GRADED A+ Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - ANSWER -Always take apical pulse for one full minute Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - ANSWER -Lasix can cause hypokalemia, which can lead to dig toxicity What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug)? - ANSWER -Digoxin can increase in the blood level and further increase the effectsWhat is the normal digoxin level? - ANSWER -0.5-2 ng/mL Normal serum potassium level is - ANSWER -3.5-5.0 mEq/L Low potassium or magnesium levels may increase risk for - ANSWER -Digoxin toxicity What are the signs and symptoms for digoxin toxcitiy? - ANSWER -anorexia, bradycardia, headache, dizziness, confusion, nausea, and visual disturbances such as blurred, yellow, or halo vision. When should you hold off on giving digoxin drug therapy? - ANSWER -if apical pulse is less than 60 What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc), nifedipine (Procardia) cause - ANSWER -produce vasodialation and reflex tachycardia (lowers BP