What are some nursing implications when administering digoxin?
Monitor BP periodically in patients receiving IV digoxin. Monitor ECG during IV administration and 6 hr after each dose. Notify health care professional if bradycardia or new arrhythmias occur. Observe IV site for redness or infiltration; extravasation can lead to tissue irritation and sloughing.
Does digoxin cause anemia?
The results demonstrated that patients exposed to digoxin were significantly more likely to report anemia than non-digoxin controls. As far as we know, this is the first study that identifies the anemia risk of digoxin.
What must the nurse check prior to the administration of digoxin?
Check your pulse before you take your digoxin. If your pulse is under 60 beats per minute, wait 5 minutes. Then check your pulse again. If it’s still under 60, call your healthcare provider.
Does Iron interact with digoxin?
Patients taking iron supplements or multivitamins that contain iron should be instructed to avoid taking their supplement within two hours of a dose of tetracycline or fluoroquinolone antibiotics, digoxin, or levothyroxine.
How do nurses assess for digoxin toxicity?
An additional nursing intervention to guard against digoxin toxicity is to assess the apical pulse for one full minute before administering digoxin. Hold the next dose and contact the physician if the apical pulse is less than 60 or more than 120 beats per minute.
What are the contraindications of digoxin?
Digoxin is contraindicated in the following conditions[5]:
- Acute myocardial infarction.
- Hypersensitivity to the drug.
- Ventricular fibrillation.
- Myocarditis.
- Hypomagnesemia.
- Hypokalemia.
- Wolf-Parkinson-White syndrome.
Does digoxin cause hypokalemia?
The most common trigger of digoxin toxicity is hypokalemia, which may occur as a result of diuretic therapy. Dosing errors are also a common cause of toxicity in the younger population.
What is the most common side effect of digoxin?
The more common side effects that can occur with digoxin include: diarrhea. dizziness. headache.
When should you not give digoxin?
If you have atrial fibrillation, the following symptoms may mean that you are not getting enough digoxin: Rapid pulse (more than 100 beats per minute). Palpitations, or a feeling that your heart is racing. Change in your heart rate.
What can digoxin toxicity cause?
Digoxin toxicity can emerge during long-term therapy as well as after an overdose. It can occur even when the serum digoxin concentration is within the therapeutic range. Toxicity causes anorexia, nausea, vomiting and neurological symptoms. It can also trigger fatal arrhythmias.
What medications interact with iron supplements?
Iron tablets may cause other drugs you are taking to not work as well. Some of these include tetracycline, penicillin, and ciprofloxacin and drugs used for hypothyroidism, Parkinson disease, and seizures. Medicines that reduce stomach acid will impair iron absorption.
What is digoxin nursing?
Nursing Career Guide. Digoxin is a cardiac glycoside used for treating adults with mild to moderate congestive heart failure and for treating abnormally rapid atrial rhythms (atrial fibrillation, atrial flutter, atrial tachycardia).
What are the nursing considerations of digoxin treatment?
digoxin Nursing Considerations & Management 1 Drug Name. 2 Dosage & Route. Patient response is quite variable. 3 Therapeutic actions. Digoxin is a cardiac glycoside which has positive inotropic activity… 4 Indications. 5 Adverse effects. Extra beats, anorexia, nausea and vomiting. 6 (more items)
What are the side effects of taking digoxin?
Assess patients receiving digoxin for anorexia, nausea, vomiting, muscle cramps, paresthesia, and confusion. Patients taking digoxin are at increased risk of digoxin toxicity because of the potassium-depleting effect of the diuretic. Potassium supplements or potassium-sparing diuretics may be used concurrently to prevent hypokalemia.
Who is at risk for hypokalemia when taking digoxin?
Patients taking digoxin are at increased risk of digoxin toxicity because of the potassium-depleting effect of the diuretic. Potassium supplements or potassium-sparing diuretics may be used concurrently to prevent hypokalemia.
How to check digoxin levels in the blood?
Lab tests: Baseline and periodic serum digoxin, potassium, magnesium, and calcium. Draw blood samples for determining plasma digoxin levels at least 6 h after daily dose and preferably just before next scheduled daily dose. Monitor for S&S of drug toxicity: In children, cardiac arrhythmias are usually reliable signs of early toxicity.