Digoxin Toxicity Flashcards
How to manage/NI?
–
Maintain a patent airway /O2 administration
tissue oxygen needs
D/C digoxin med
Further inhibits toxicity
Cardiac Monitoring
to assess for cardiac dysrhythmias such as accelerated junctional rhythm , prolong PR interval, Q changes
Frequent Apical pulses
to assess for abnormal heart beats ; bradycardia can occur
Assess lung sounds
Heart may be failing to move blood forward backing up into the lungs ; crackles
Monitor electrolytes
esp potassium ; Hypokalemia increases the risk for toxicity ; potassium and digoxing compete for binding site on the sodium potassium ATPase pump
Monitor BP/ pulse
may be showing signs of HF
decreased bp, increased hr
Maintain iv access
to administer meds
Monitor I/O
may have decreased renal function / increase BUN Creatinine
WHAT SHOULD I REPORT TO THE PHYSICIAN
LOC
2re
Changes in ECG
3re
Vision disturbances
4re
Headache
5re
GI function -Nausea /Vomiting/ Diarrhea
WHAT SHOULD I ANTICIPATE ?
O2
2an
ecg/cardiac monitoring
3an
labs electrolyte esp potassium, ca, mg
4an
DIGIBIND -ANTIDOTE /activated charcoal
5an
Digoxin level
6an
Renal function studies
7an
iv fluids /electroloyte therapy K,mg
8an
cardiac enzymes if indicated
9an
bedrest
