1.      Action


A.      Digoxin regulates and strengthens the pumping action of the heart.

B.      It is used to treat congestive heart failure, atrial fibrillation, atrial flutter, and atrial tachycardia.


2.      Possible Adverse Reactions


A.      Loss of appetite.

B.      Nausea and vomiting.

C.      Diarrhea.

D.      Fatigue.

E.      Green-yellow halos around objects.

F.       Drowsiness.

G.      Dizziness.

H.      Arrhythmias.

I.  Blurred vision.

J.Muscle weakness.


3.      General Education


A.      Take apical pulse one full minute before taking digoxin and do not give without physician's permission if pulse is less than 60.

B.      Notify physician if pulse is less than 60, or if there are any unusual irregularities in the pulse.

C.      Store in tightly closed containers, and keep away from heat and light.

D.      If an alumin-containing antacid or kaopectate is used, it must be separated from digoxin by at least two hours.

E.      Weigh weekly for early detection of fluid retention.

F.       Take medication at the same time each day.

G.      Report adverse reaction.

H.      Monitor serum potassium levels closely. (Low potassium levels will increase possibility of digoxin toxicity.)

I.  Report signs of digoxin toxicity such as loss of appetite, nausea, blurred vision, slow heart rate, mental confusion, and dizziness.

J.Avoid over-the-counter medications without permission from the physician due to possible interactions.

K.       Never change dose or discontinue without orders from the physician.

L.Avoid alcohol.

M.     Do not substitute one brand for another.