You need to measure dig levels from labs, BP, o2 sat, and pulse wouln't hurt either.
Ayraayra: The most important thing to measure when administering digoxin is heart rate. You want to count the apical for a full minute. They drilled this into us at school. The heart rate has to be at least 60 beats per minute or you hold the medication. Digoxin works by increasing the force and velocity of heart contractions.
You check apical pulse for 1 minute, if less that 60bpm you hold it wait five minutes and check again if it is still less that 60bpm you notify the physician. Monitor for signs of 'dig' toxicity like: - Confusion, irregular pulse, Loss of appetite; nausea, vomiting, diarrhea, palpitations, halos around objects. Decreased urine output.
Preferably, a nurse should always take a set of vital signs (pulse, blood pressure, temperature, SPO2, respiratory rate) before giving any medication.
You need to accurately check the heart rate. Digoxin can lower the heart rate to dangerous levels. You should not administer digoxin when pulse rate is already below 60.
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blood pressure,pulse,breathihg,spo2
If the heart rate is slow (below 60 bmp) and if digoxin is given, it can reduce the heart rate to dangerous levels.
Check heart rate
Before administering it to the patient
Digoxin
check patient iv site
You need to accurately check the heart rate. Digoxin can lower the heart rate to dangerous levels. You should not administer digoxin when pulse rate is already below 60.
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Checking vital signs before administering digoxin is important because digoxin affects the heart, specifically slowing the heart rate and increasing the strength of each heartbeat. Monitoring vital signs such as heart rate, blood pressure, and rhythm helps ensure the patient can tolerate the medication safely and effectively. Any abnormalities in vital signs may indicate a need to adjust the medication dosage or seek further medical attention.
1. Assess the patient's response to the digoxin by evaluating relief of symptoms such as dyspnea, orthopnea, crackles, hepatomegaly, and peripheral edema. 2. Monitor the patient for factors that increase the risk of toxicity: a. Decreased potassium level b. Use of meds that enhance the effects of digoxin such as oral antibiotics and cardiac drugs that slow AV conduction and slow heart rate c. Impaired renal function especially in patients 65 years and older 3. Before administering the drug, assess the patient's apical heart rate. If it below 60, the drug should be held. More importantly assess the PR interval for AV conduction blockage. 4. Monitor for GI side effects 5. Monitor for neurologic side effects. A classic symptom of digoxin toxicity is a yellow halo effect seen by the patient.
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