Digoxin loading in renal impairment
Management of Medicines in Operating Departments.
Dosing & Uses
To continue reading this article, you must log in with your personal, hospital, or group practice subscription. Administration of Fluids by Subcutaneous Infusion. Am J Med Sci. Prior Authorization Drugs that require prior authorization.
For more information on subscription options, click below on the option that best describes you:. Print with Office Info. You are using an unsupported web browser. Accessed November 8, As mentioned above, this calculator uses the Bauman-DiDomenico nomogram for dosing heart failure patients without arrhythmias.
Usual range is - micrograms OM atrial fibrillation or flutter. Not necessary to routinely reduce or hold digoxin therapy prior to elective electrical cardioversion for atrial fibrillation; however, exclusion of digoxin toxicity is necessary prior to cardioverstion; whithhold digoxin and delay caridioversion until toxicity subsides if signs of digoxin excess exist. For maximal early benefits, digoxin requires loading doses, which can be administered intravenously or orally.
Safe Management of Patients with Allergy.
Proc Clin Dial Transplant Forum. Cardiac side-effects of digoxin are enhanced by acidosis, hypokalemia, hypomagnesaemia, hypercalcaemia, hypoxia and hypothyroidism.
Monitor serum concentration closely when used for rate control in patients with atrial fibrillation; serum concentration that are not properly conrolled are associated with increased risk of mortality. Bivalirudin, ciprofloxacin, cisatracurium, dexmedetomidine, diltiazem, famotidine, fenoldopam, gatifloxacin, heparin with hydrocortisone, Hextend, inamrinone, linezolid, meperidine, meropenem, midazolam, milrinone, morphine sulfate, potassium chloride, remifentanil, tacrolimus, vitamins B and C.
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Then assess clinically and prescribe maintenance dose if indicated. The Digitalis Investigation Group. Digoxin-induced cardiac toxicity may resemble the presenting cardiac abnormality.
Resident, Fellow or Student. Major factors influencing serum levels. Clin Sci Mol Med. This restriction requires that specific clinical criteria be met prior to the approval of the prescription. Safe Prescribing for Children.
Individual plans may vary and formulary information changes. We can't guarantee that ClinCalc. Serum levels drawn within hours of dose will be falsely high because of prolonged distribution phase.