A. The first action would be to check the pulse rate of the patient to make sure it’s not less than 60 beats per minute
B. There are several assessments necessary for a patient receiving this treatment and one of such will be to monitor the blood pressure
C. This depends on the route of administration but if it’s orally, Initial daily dosage should not exceed 0.125 mg. Geriatric patients require careful digoxin dosage titration because they can be more sensitive to the drug and can experience toxic reactions at dosages that are usually well tolerated in younger patients. Toxicity may occur even if serum digoxin levels appear to be within the accepted therapeutic range.
D. This can be documented using the drug chart and the patient’s file.
E. The most common changes that can be noticed are gastrointestinal which include nausea, vomiting and abdominal pain and toxicity should be suspected.
