What are nursing implications for digoxin?
What are nursing implications for 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.
What should the nurse check before administering 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.
What are the nursing implications?
Nursing implications are the possible clinical consequences or effects of implementing the study’s findings (Polit & Beck, 2014). They also must consider the scope of nursing practice (Fawcett, 2006). Authors should not assume readers can make the link between specific findings and clinical practice.
What should you monitor for digoxin?
Digoxin is primarily cleared from the body by the kidneys. If you have kidney problems, your healthcare provider may want to monitor kidney function and blood potassium levels since kidney dysfunction and low levels of potassium can result in symptoms of digoxin toxicity.
What should you not take with digoxin?
Digoxin has many interactions, including:
- Erythromycin and tetracycline (antibiotics)
- Antiarrhythmic drugs (amiodarone)
- Calcium channel blockers.
- Over-the-counter antacids.
- Hawthorn (an herbal remedy)
- Black licorice.
- Large amounts of oatmeal, milk and high-fibre cereals.
When should you not take digoxin?
Tell your doctor straight away if you: have more than 2 of the common side effects – it means you could have too much digoxin in your blood. have a fast heart rate (palpitations), shortness of breath, feel dizzy or lightheaded and are sweating.
What is a nursing implication for aspirin?
Nursing considerations – Assess pain and/or pyrexia one hour before or after medication. – In long-term therapy monitor renal and liver function and ototoxicity. – Assess other medication for possible interactions – especially warfarin which is a special hazard.
Why do you have to take an apical pulse before giving digoxin?
Due to the risk for digoxin toxicity, the clinical use of digoxin has decreased and alternative, safer medications are being used. Apical pulse should be taken for a full minute before administration of this medication.
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 should you avoid when taking digoxin?
Avoid alcohol while taking digoxin as it will make you drowsier. Mixing of alcohol with digoxin will decrease the amount of the drug in your bloodstream which may cause abnormalities in heart function. Due to this interaction high blood pressure and congestive heart failure also can occur.
What are the nursing implications of digoxin use?
Nursing Implications 1. Digoxin preparations must be stored in tightly covered, light resistant containers at room temp. 2. FOLLOW CLOSELY(especially in patients receiving diuretics or amphotericin) for decreased serum potassium (K), magnesium (Mg), or thyroxine (T4) along with increased calcium (Ca) will increase digoxin toxicity at a given level.
What is the therapeutic class of digoxin Lanoxin?
Essentially digoxin is given to increase cardiac output and slow the rate. What is the Therapeutic Class of Digoxin (Lanoxin)? What is the Pharmacologic Class of Digoxin (Lanoxin)? What are the Nursing Considerations of Digoxin (Lanoxin)?
Are there any side effects of digoxin for older adults?
Geri: Older adults are at increased risk for toxic effects of digoxin (on Beers list) due to age-related decreased renal clearance; may exist even when serum creatinine levels are normal. Digoxin requirements in older adult may change and a formerly therapeutic dose can become toxic.
What happens when digoxin is replaced with Elixir?
Observe patients closely when being transferred from one preparation (tablet, elixir, or parenteral) to another; when tablet is replaced by elixir potential for toxicity increases since 30% of drug is absorbed.