Digoxin therapeutic monitoring
[DOC File]Guidelines to Therapeutic Drug Monitoring
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Digoxin. At least 6-8hr after the last dose, or prior to the next daily dose. CHF: 0.8-2 ng/ml . Arrhythmias: 1.5-2.5 ng/ml . Atrial fibrillation: may need 2-4 ng/ml. ~7 days (15-20 days in end stage renal disease) Gentamicin. Peak: 30min after the end of infusion, or 1hr after IM injection. Trough: prior to the next dose Once daily: P: 10-20 ...
[DOC File]Prepared By - Beckman Coulter
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Monitoring serum digoxin concentrations, along with careful clinical assessment, is the most effective means of ensuring safe and effective therapy for several reasons:1–3 Studies have shown a relationship between serum digoxin concentrations and clinical signs of toxicity.
[DOCX File]Lippincott Williams & Wilkins
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Routine monitoring of digoxin in patients with congestive heart failure Any measure of digoxin with no hospitalizations or ER visits during that year. Unit of obs: per beneficiary
[DOCX File]Section 1. MassHealth Managed Care Organizations
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May 17, 2018 · Members taking ACE/ARB or diuretics had at least one serum potassium test and at least one serum creatinine in the measurement year. Members taking digoxin had at least one serum potassium test, at least one serum creatinine, and at least one serum digoxin therapeutic monitoring test in the measurement year.
[DOC File]Nursing Process Focus: Digoxin*(Lanoxin)
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Monitor serum drug level to determine therapeutic concentration and toxicity. Report serum drug levels > 1.8 to health care provider. ... Keep appointment for followup lab studies Monitor for signs and symptoms of digoxin toxicity. (There is a narrow margin of drug levels.) ... Adhere to blood glucose monitoring …
[DOCX File]Attachment 2. Extract from the Clinical Evaluation Report ...
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Measurement of serum levels of digoxin have formed the basis of international clinical guidelines that are now the standard for therapeutic drug monitoring routinely performed in patients treated with digoxin. There is a well-established relationship between neutralisation of digoxin and clinical symptom resolution in cases of digoxin toxicity.
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