Digoxin (lanoxin, digitalis) is a cardiac glycoside that increases the strength of the myocardial contractions. The result is increased cardiac output and decrease oxygen demands of the heart. Digoxin is used for:
- Atrial fibrillation
*Digoxin will slow down the heart rate but increase contractility* The major point to remember about digoxin is that the therapeutic window is very narrow from 0.5-2.0ng/mL. Over 2.0ng/mL you will see signs of digoxin toxicity:
Digoxin toxicity signs:
- yellow spots or halos
- abdominal pain
Digoxin will lower potassium and low potassium can potentiate toxicity. Teach client signs of hypokalemia! Teach client to monitor apical pulse before each dose.Hold if apical pulse is less than 60BPM.
Take digoxin at the same time everyday
US healthcare cost explanation at warp speed
Even if you don’t think vaccines and autism are related … these are some staggering numbers!
YES THESE NUMBERS ARE STAGGERING I WOULD ALSO POSIT THAT HAVE YOU CONSIDERED THESE IMAGES AND TEXT ALSO
12/10 best response to this idiocy.
correlation does not equal causation dumbasses
Those are the best graphs ever.
Bolded for emphasis.
I’ve posted this before.
But, just to be clear.
walking pneumonia: term used to describe either a mild pneumonia or an “atypical pneumonia.” Atypical pneumonias are those caused by less common bacterial pathogens or those that do not cause typical lobar infections, like Mycoplasma pneumoniae, Legionella pneumophilia, and Chlamydia…
Amyotrophic Lateral Sclerosis - The disorder causes muscle weakness and atrophy throughout the body due to the degeneration of the upper and lower motor neurons.
Elisabeth Kubler-Ross, 1969
It’s chilling to see what year she said this, and to see which path American medicine chose to take leading us to the current problems we have today.
Erikson’s Stages of Psychosocial Development are super super super important to memorize. (mostly the years and the basic conflict) i’ve had a ton of these questions in KAPLAN so far.