Digoxin Toxicity

Question 1

How to manage/NI?

Answer 1

–

Question 2

Maintain a patent airway /O2 administration

Answer 2

tissue oxygen needs

Question 3

D/C digoxin med

Answer 3

Further inhibits toxicity

Question 4

Cardiac Monitoring

Answer 4

to assess for cardiac dysrhythmias such as accelerated junctional rhythm , prolong PR interval, Q changes

Question 5

Frequent Apical pulses

Answer 5

to assess for abnormal heart beats ; bradycardia can occur

Question 6

Assess lung sounds

Answer 6

Heart may be failing to move blood forward backing up into the lungs ; crackles

Question 7

Monitor electrolytes

Answer 7

esp potassium ; Hypokalemia increases the risk for toxicity ; potassium and digoxing compete for binding site on the sodium potassium ATPase pump

Question 8

Monitor BP/ pulse

Answer 8

may be showing signs of HF

decreased bp, increased hr

Question 9

Maintain iv access

Answer 9

to administer meds

Question 10

Monitor I/O

Answer 10

may have decreased renal function / increase BUN Creatinine

Question 11

WHAT SHOULD I REPORT TO THE PHYSICIAN

Answer 11

LOC

Question 12

2re

Answer 12

Changes in ECG

Question 13

3re

Answer 13

Vision disturbances

Question 14

4re

Answer 14

Headache

Question 15

5re

Answer 15

GI function -Nausea /Vomiting/ Diarrhea

Question 16

WHAT SHOULD I ANTICIPATE ?

Answer 16

O2

Question 17

2an

Answer 17

ecg/cardiac monitoring

Question 18

3an

Answer 18

labs electrolyte esp potassium, ca, mg

Question 19

4an

Answer 19

DIGIBIND -ANTIDOTE /activated charcoal

Question 20

5an

Answer 20

Digoxin level

Question 21

6an

Answer 21

Renal function studies

Question 22

7an

Answer 22

iv fluids /electroloyte therapy K,mg

Question 23

8an

Answer 23

cardiac enzymes if indicated

Question 24

9an

Answer 24

bedrest

Question 25

10AN

Answer 25

procainamide

Question 26

11an

Answer 26

lidocaine