Digoxin

Daytonite,

Thanks for replying. Looking at my question now I forgot to mention that pt is 86 yrs old. Anyways, my first thought was to give the digoxin because it lowers the HR, monitor the pt, hook up to ECG and then notify prescriber immediately.

I was told that the symptoms indicate "toxicity" and to withhold medication since digoxin has a narrow range between therapeutic vs toxic effects. I am still confused as to how 110bpm and flu-like symptoms go with toxicity. I am thinking it is just a safety issue considering that the pt has multiple illnesses.

Thanks for thinking with me

Thanks, everyone.

My 1st thought was I would have known that digoxin levels are okay since the chart would have current lab values.

@armytruck: yes, low levels would also send pt into afib - That's why I wanted to give the digoxin. (I'm just relieved that I was on the right track and that my understanding is correct)

But since this scenario doesn't give more details, I think that it does make sense to be on the safe side. And of course, MORE assessments as armytruck states was on my list of "to do".

Thank you all.

thanks, shrimpchips!