Digoxin Lanoxin Nursing Considerations

Assess for shortness of breath peripheral edema pulmonary edema initially and throughout therapy knowledge deficient related to drug action obtain complete medical history including allergies especially cardiac.

Digoxin lanoxin nursing considerations. Do not to take otc medications especially those for coughs colds allergy gi upset or obesity without prior approval of physician. Positive inotropic effect increases force of myocardial contraction prolongs refractory period conduction through sa and av nodes. In adults and older children first symptoms of toxicity usually include abdominal pain anorexia nausea vomiting visual disturbances bradycardia and other arrhythmias. Essentially digoxin is given to increase cardiac output and slow the rate.

Patients receiving digoxin lanoxin assessment prior to administration. Observe for signs and symptoms of toxicity. Take digoxin precisely as prescribed do not skip or double a dose or change dose intervals and take it at same time each day. In impaired renal function duration will be.

If use is necessary the drug should not be prescribed in daily doses greater than 0125 mgday due to lack of additional benefit and increased risk of toxicity. Digoxin requirements in older adult may change and a formerly therapeutic dose can become toxic. What are the nursing considerations of digoxin lanoxin. Withhold dose notify hcp if pulse 60.

Digoxin lanoxin nursing consideration monitor apical pulse for 1 full minute before administering. Excreted by kidneys assess patient for hypersensitivity contraindicated with uncontrolled ventricular arryhtmias hypokalemia increase risk for toxcicity hypercalcemia risk for toxicity use caution with diuretic use as they may cause. Digoxin is a cardiac glycoside which has positive inotropic activity characterized by an increase. According to the beers criteria digoxin is considered a potentially inappropriate medication pim in geriatric adults and should be avoided as first line therapy for atrial fibrillation or heart failure.

Patient response is quite variable. Also notify hcp promptly of any signification changes in rate rhythm or quality of pulse. She needs to investigate the implications of a. Digoxinim 30min 46hr 24days digoxiniv 530min 14hr 24days duration listed is that for normal renal function.