Press lightly. Count the number of beats for 1 full minute. A normal pulse is between 60 and beats per minute. You may need to have your digoxin levels watched.
This depends on how well your kidneys are working. It also depends whether you take medicines that may make the levels of digoxin increase or decrease. You may need the levels checked if you are having side effects from the medicine. Some side effects can be life-threatening if the digoxin levels become higher than normal in your body.
Call your healthcare provider before you take your next dose of digoxin if you have any of these symptoms:. Was this helpful? Yes No Tell us more. Check all that apply. Wrong topic—not what I was looking for. Additionally, the patient should consult the healthcare provider if two or more doses of medication are missed for follow-up instruction.
Patients should receive education regarding pulse rate monitoring and report any pulse rate less than If the patient experiences signs of digoxin toxicity, this should be reported to the provider immediately. The medication should be stored in its original container and care should be taken not to mix the medication with other medications. Headache, weakness, dizziness, and mental changes such as anxiety or hallucinations.
This medication is the antidote for digoxin. Digibind will be administered when a patient is experiencing life-threatening digoxin toxicity. The most common effects a patient may experience are to have worsening heart failure, worsening atrial fibrillation, and hypokalemia. The patient should report any signs of worsening heart failure, atrial fibrillation, or hypokalemia immediately to the healthcare provider.
Digoxin Digoxin is a cardiac glycoside medication that has been used for centuries to treat heart failure. Nursing Considerations Across the Lifespan Apical pulse should be taken for a full minute before administration of this medication. Tablets: 0. Lab Test Considerations: Evaluate serum electrolyte levels especially potassium, magnesium, and calcium and renal and hepatic function periodically during therapy. Notify health care professional before giving dose if patient is hypokalemic.
Hypokalemia, hypomagnesemia, or hypercalcemia may make the patient more susceptible to digitalis toxicity. Pedi: Neonates may have falsely elevated serum digoxin concentrations due to a naturally occurring substance chemically similar to digoxin.
Toxicity Overdose: Therapeutic serum digoxin levels range from 0. Serum levels may be drawn 6—8 hr after a dose is administered; usually drawn immediately before the next dose.
Geri: Older adults are at increased risk for toxic effects of digoxin on Beers list due to age-related decreased renal clearance; may exist even when serum creatinine levels are normal. Digoxin requirements in older adult may change and a formerly therapeutic dose can become toxic. To view other topics, please log in or purchase a subscription. Nursing Central is an award-winning, complete mobile solution for nurses and students. Complete Product Information. Download the Nursing Central app by Unbound Medicine.
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How will my doctor know if I am getting the right amount of digoxin? Things to consider Most people can take digoxin without experiencing many side effects. These side effects include: nausea vomiting diarrhea stomach pain loss of appetite tiredness or weakness slow heartbeat palpitations irregular heartbeat drowsiness confusion fainting vision changes blurred or yellow It is important to pay attention to these side effects.
If you have heart failure, the following symptoms may mean that you are not getting enough digoxin: More shortness of breath than usual. A decrease in your ability to climb stairs or walk. Waking up short of breath at night. Shortness of breath when you lie flat or sleep on more pillows than usual. More frequent trips to the bathroom during the night.
Increased ankle swelling or feeling that your shoes are suddenly too tight. If you have atrial fibrillation, the following symptoms may mean that you are not getting enough digoxin: Rapid pulse more than beats per minute.
Palpitations, or a feeling that your heart is racing. Change in your heart rate. Fainting or blackouts. Questions to ask your doctor Is digoxin the right medicine for me? How should I take this medicine? What are possible side effects? What are symptoms I need to watch out for? What should I do if I miss a dose? How long will I need to take digoxin?
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