a child with heart disease starts on oral digoxin. when preparing to administer the medication, what should the nurse do first?

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05-12-2022
Medicine

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a child with heart disease starts on oral digoxin. when preparing to administer the medication, what should the nurse do first?

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jaiswaljyoti jaiswaljyoti · Answer 1 · 2022-12-09T05:17:21-05:00

A nurse should assess the apical pulse for a full minute before administering digoxin due to its positive inotropic action , negative chronotropic action (it decreases heart rate), and negative dromotropic action (it decreases electrical conduction).

The nurse monitor blood pressure and apical pulse prior to administration. Cardiac monitor should be used on patients receiving digoxin, especially loading doses. Monitor serum digoxin levels closely, especially if receiving antibiotic therapy. Monitor serum electrolytes, especially potassium.Serum digoxin levels should be monitored, with a normal therapeutic range from 0.8 to 2 ng/mL. Serum potassium levels should also be closely monitored for patients on digoxin because hypokalemia increases the effect of digoxin and can result in digoxin toxicity.

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