Cardiac:Digoxin

Question 1

Action of digoxin?

Answer 1

Nobody really knows how digoxin work

Question 2

Effects digoxin?

Answer 2

-Slows down the heart rate
-Increases BP and tissues perfusion

Question 3

Clinical priorities

Answer 3

-Always check the apical pulse hold if HR is less than 60 in adults and less than 100 in infants.

-therapeutic level is 1-2. if greater than 2, client is digoxin toxic

Question 4

Clinical priorities: Signs of digoxin toxicity is?

Children s/s toxicity?

Answer 4

The client will see yellow spots, nausea, vomiting, and abdominal pain. WARNING the signs of toxicity in infant is Bradycardia.

Question 5

What electrolyte must the nurse monitor for a patient taking digoxin?

Answer 5

Nurse must monitor potassium levels. A low potassium level can increase the risk of digoxin toxicity.

Question 6

What to give if client becomes toxic?

Answer 6

Activated charcoal or Digoxin Immune fab.