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### Cardiac Glycosides - Digoxin (Langxin) - WHR - ↑ contractility - Slows electrical conduction - Recommended as HF 1st Choice - No longer recommended as HF 1st Choice - Risk x toxicity - Visual disturbances - Blurred vision - Green/Yellow Halos ### Nurse 1. OIC 2. E...

### Cardiac Glycosides - Digoxin (Langxin) - WHR - ↑ contractility - Slows electrical conduction - Recommended as HF 1st Choice - No longer recommended as HF 1st Choice - Risk x toxicity - Visual disturbances - Blurred vision - Green/Yellow Halos ### Nurse 1. OIC 2. ECG 3. Serum dig flytes - Hold if HR < 60 or > 100 & notify! - Don't take with fibre 4. Hypokalemia 5. Antidote - Pt reports ut gain - Low K increase toxicity! ### Antidote: - Digibind, Digifab. - if hyperkalemia - Overdose - Life-threatening dysrhythmics. ### MSC Drugs: - Dobutamine - Hydralazine/ isosorbide dinitrate - Recommended x Black pts. - Milrinone - A Phosphodiesterase inhibitor. - Inotropic - Inodilators (Inotropics + dilators) - Short term mgmt of HE (ICU) - ↑ CAMP temporarily overstimulation - Improved contractility - Improved dilation - Only one available in Canada - Several adverse effects.