Decreased Cardiac Output r/t drug toxicity affecting cardiac rate AEB heart rate of 50 BPM.Ģ. Two highest priority nursing diagnoses: 1.

Kidway's age, and preexisting heart failure. Also, measurement of her creatinine level would be necessary since her kidney's function would need to be assessed.Ĭontinuous hemodynamic assessment would be necessary given Mrs. Kidway has been regularly taking digoxin, her toxicity is most likely chronic due to the long half-life.Ĭorrecting any electrolyte imbalances: correcting her hypokalemia (2.1 mEq/L, normal potassium level is 3.5-5 mEq/L) would be necessary since it can cause arrhythmias and impacts the cardiac system. GI decontamination would be necessary for an acute overdose. Supportive treatment would consist of rehydration with IV fluids, oxygenation and possible ventilator support, discontinuation of the drug, and correction of any electrolyte imbalances. Digoxin immune fab (Digibind) is the antidote for digitalis toxicity and is the first line treatment. Digibind/digifab and Atropine:ĭigoxin toxicity treatment is mainly guided by the signs and symptoms, not the digoxin level alone. Discuss how her digoxin toxicity will be treated. The critical value for adults is greater than 2.5ng/mL. At what serum digoxin range do cardiac dysrhythmias appear and what is the critical value for adults? Levels greater than 2ng/mL can cause cardiac dysrhythmias to appear.

Digoxin antidote