Question

A client is prescribed digoxin 1mg by mouth QID. The client states that the objects in his room have a yellowish tinge and he is nauseated. Select the most appropriate nursing action at this time.

Answer 1

Answer:

Digoxin, a medicine used for cardiac problems, among its side effects are nausea and vomiting accompanied by impaired vision (blurred or yellow vision). In these cases it is recommended to decrease the dose of digixin or consult your attending physician.

Answer 2

The most appropriate nursing action at this time is Specific treatment of digitalis poisoning is with digoxin-specific antibody fragments (digoxin-Fab)

What can digoxin overdose cause?

Cardiac arrest from asystole or ventricular fibrillation caused by digoxin toxicity is usually fatal. Acute overdose may result in hyperkalemia (moderate to pronounced) due to inhibition of the sodium-potassium pump. Hypokalemia may contribute to toxicity.

How to reverse digoxin poisoning?

The specific treatment of digitalis poisoning is with digoxin-specific antibody fragments (digoxin-Fab). These antibodies are the treatment of choice in acute intoxication with hyperkalemia (potassium >6.0mEq/L) and in acute or chronic toxicity with any potentially lethal arrhythmia.

With this information, we can conclude that the most appropriate nursing action at this time is The specific treatment of digitalis intoxication is with fragments of antibodies specific for digoxin (digoxin-Fab)

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