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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.

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13y ago
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13y ago

Preferably, a nurse should always take a set of vital signs (pulse, blood pressure, temperature, SPO2, respiratory rate) before giving any medication.

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Q: What vitals does a nurse check before administering digoxin?
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Must check apical pulse before administering what medication?

If the heart rate is slow (below 60 bmp) and if digoxin is given, it can reduce the heart rate to dangerous levels.


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Before giving digoxin, you should check the levels of potassium, magnesium, and calcium, as abnormalities in these electrolytes can affect the efficacy and safety of digoxin therapy. Potassium and magnesium levels are particularly important to monitor, as hypokalemia or hypomagnesemia can increase the risk of digoxin toxicity.


Why do the nurse has to to check these vitals signs before giving digoxion?

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.


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Why do you take an apical pulse for people on digoxin?

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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