.Normal digoxin levels are: 0.5-2.

2 ng/ml
Toxic > 3.0 ng/ml
Check pulse
Normal digoxin levels are: 0.5-2.2 ng/ml

Toxic > 3.0 ng/ml

Some signs of dig toxicity include atrial arrhythmias, fatigue or generalized weakness,
hallucinations, agitation, blurry vision, yellowish green halos, anorexia, nausea, and
vomiting, arrhythmias, especially conduction disturbances(Junctional, SB, pauses,
arrest) with or without AV block, pvcs, svt, vfib, hypotension, increased severity of heart
failure.

Be alert especially if the patient has had lower potassium levels or is taking amiodarone
as well.

Management includes correcting the problem and managing symptoms. Charcol can be
used (though I personally havent seen it used for this). Digibind can be used if serum
dig >10ng/ml or potassium >5meq. Correct hypoxia and electrolyte imbalances. Normal
treatment for dysrhythmias.

The last patient I had with this came in barely alive, idioventricular rhythm in the 30s,
acidotic, very decreased LOC, potassium level of 9.0 (yes we couldn't believe it either),
dig level of 4 or 5. She was intubated in out unit shortly after arrival. We used digibind,
kayexelate, bicarb...the patient lived...

Ace inhibitors can cause hyperkalemia PRIL

Antiemetics
Compazine
Phenergan
Zofran

Senna,
Senna Senna (Senokot) glycoside, also known as sennoside or senna, is a medication used
to treat constipation and empty the large intestine before surgery. The medication is taken by
mouth or via the rectum. It typically begins working in minutes when given by rectum and within
twelve hours when given by mouth.

Colace,
Stool softeners such as docusate are often the first method used for preventing and treating
this type of constipation. Docusate is often used when straining to have a bowel movement
should be avoided (e.g., after a heart attack or surgery). Docusate is a stool softener.

Dulcolax
Brand name: Dulcolax
Laxative
It can treat constipation.

, Miralax. Diarrhea or loose stools are side effects of MiraLAX. Diarrhea is more likely to
happen if you take more than the recommended dosage. ... In one study, about 11
percent of those taking MiraLAX for chronic constipation had diarrhea as a side
effect.Sep 26, 2018
Older patients are obsessed with their bowel movements.

What kind of insulin is NovoLog?

insulin aspart
Humalog is the brand-name version of insulin lispro, and Novolog is the brand-name
version of insulin aspart. These drugs both help control blood glucose (sugar) in people
with type 1 and type 2 diabetes. Humalog and Novolog are both rapid acting. That
means they work more quickly than other types of insulin.

Humalog and Novolog are two diabetes medications. Humalog is the brand-
name version of insulin lispro, and Novolog is the brand-name version of
insulin aspart. These drugs both help control blood glucose (sugar) in people
with type 1 and type 2 diabetes.
Humalog and Novolog are both rapid acting. That means they work more
quickly than other types of insulin. There are important distinctions between
Humalog and Novolog, however, and the drugs are not directly
interchangeable.

Check out this comparison so you can work with your doctor to choose a drug
that’s right for you.

Rapid-acting insulin works more quickly than other types of insulin. Humalog
and Novolog are in the rapid-acting class of insulin. The American Diabetes
Association estimates that both medications start working after 15 minutes.

Humalog and Novolog last two to four hours and reach their peak after one
hour. The exact time frame of the onset, peak, and duration may vary slightly
for you. That’s why it’s important to check your blood sugar levels before and
after taking Humalog or Novolog.

Also, you must eat within a short time after using either drug. Delaying eating
after using a rapid-acting insulin could cause hypoglycemia (low blood sugar).

If your doctor prescribes you Humalog or Novolog, you’ll likely need a long-
acting insulin as well. Your doctor will decide your dosage.

Lantus (insulin glargine) is a man-made form of a hormone (insulin) that is produced in

the body. Insulin is a hormone that works by lowering levels of glucose (sugar) in the
blood. Insulin glargine is a long-acting insulin that starts to work several hours after
injection and keeps working evenly for 24 hours.Feb 18, 2019 Insulin glargine is normally
used in combination with a short-acting insulin, which is given before meals to control
the increasing blood glucose levels after eating. When taken once daily, it is usually
best to take the injection in the morning on a consistent 24-hour cycle. Research has
shown that the morning injection has the least potential to cause an undesired blood
sugar rise when the insulin is tapering off at around 20-24 hours.Sep 5, 2018

Levemir is a solution of insulin detemir, and Lantus is a solution of insulin glargine.

Insulin glargine is also available as the brand Toujeo. ... They keep blood sugar levels
lowered for longer than short-acting insulins do. Although the formulations are slightly
different, Levemir and Lantus are very similar drugs.Oct 19, 2016

Clopidogrel
Listen to pronunciation
Brand name: Plavix
Blood thinners
It can prevent stroke, heart attack, and other heart problems.

Metformin glucaphage is used with a proper diet and exercise program and possibly
with other medications to control high blood sugar. It is used in patients with type 2
diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve
problems, loss of limbs, and sexual function problems.