GALEN COLLEGE CINCINNATI PHARM
EXAM 2 PAIN MANAGEMENT ANALGESICS
OPIOIDS NONOPIOID SAFETY
PROTOCOLS 2026 GRADED A+
◉ cardiac glycosides
Answer: treat heart failure-right or left. used to correct a-fib, cardiac
dysrhythmias, and atrial flutter
◉ nonpharm measures before using cardiac glycosides
Answer: limit salt, no alcohol, avoid smoking, watch your weight,
decrease sat fats, mild exercise
◉ which lab tests confirm hf?
Answer: anp or bnp
◉ digoxin class
Answer: cardiac glycoside
◉ digoxin use
Answer: a-fib, hf
, ◉ digoxin side effects
Answer: anorexia, blurred vision, n & v, ha, weakness, confusion
◉ digoxin adr
Answer: bradycardia, cardiac dysrhythmias, thrombocytopenia
◉ digoxin toxicity
Answer: bradycardia, seeing halos
◉ digoxin drug interactions
Answer: diuretics, cortisone (decrease potassium increase chance of
toxicity), stagger doses of antacids with digoxin (decreases
absorption of digoxin)
◉ nursing process for digoxin
Answer: baseline pulse-apical pulse for one full minute, hr <60=hold
med, assess for signs and symptoms of toxicity, avoid otc meds, teach
patient to always take pulse before med, report <60 pulse to md,
teach adherence
◉ antianginals
Answer: treat chest pain
EXAM 2 PAIN MANAGEMENT ANALGESICS
OPIOIDS NONOPIOID SAFETY
PROTOCOLS 2026 GRADED A+
◉ cardiac glycosides
Answer: treat heart failure-right or left. used to correct a-fib, cardiac
dysrhythmias, and atrial flutter
◉ nonpharm measures before using cardiac glycosides
Answer: limit salt, no alcohol, avoid smoking, watch your weight,
decrease sat fats, mild exercise
◉ which lab tests confirm hf?
Answer: anp or bnp
◉ digoxin class
Answer: cardiac glycoside
◉ digoxin use
Answer: a-fib, hf
, ◉ digoxin side effects
Answer: anorexia, blurred vision, n & v, ha, weakness, confusion
◉ digoxin adr
Answer: bradycardia, cardiac dysrhythmias, thrombocytopenia
◉ digoxin toxicity
Answer: bradycardia, seeing halos
◉ digoxin drug interactions
Answer: diuretics, cortisone (decrease potassium increase chance of
toxicity), stagger doses of antacids with digoxin (decreases
absorption of digoxin)
◉ nursing process for digoxin
Answer: baseline pulse-apical pulse for one full minute, hr <60=hold
med, assess for signs and symptoms of toxicity, avoid otc meds, teach
patient to always take pulse before med, report <60 pulse to md,
teach adherence
◉ antianginals
Answer: treat chest pain
