What are the appropriate nursing actions before administering the digoxin?
A client with heart failure is complaining of nausea. The client has received IV furosemide (Lasix), and the urine output has been 2500 ml over the past 12 hours. The clients home drugs include metoprolol (Lopressor), digoxin (Lanoxin), furosemide, and multivitamins.
Call the physician Report the urine output Report indications of nausea
Potassium is lost during diuresis with a loop diuretic such as furosemide (Lasix). Hypokalemia can cause digitalis toxicity, which often results in nausea. The physician should be notified, and digoxin should be held until potassium levels and digoxin levels are checked. Peaked T waves and widened QRS are manifestations of hyperkalemia.