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Digoxin PATIENT NAME ___________________________________ SOC_______________ INITIAL Action of digoxin. ______ ______ A. It controls the rate and rhythm of the heart and strengthens contractions. ______ ______ B. It is used to treat congestive heart failure and heart dysrhythmias. Possible adverse reactions. ______ ______ A. Loss of appetite. ______ ______ B. Nausea and vomiting. ______ ______ C. Diarrhea. ______ ______ D. Fatigue. ______ ______ E. Green-yellow halos around visual objects. ______ ______ F. Drowsiness. ______ ______ G. Dizziness. ______ ______ H. Arrhythmias. ______ ______ I. Blurred vision. ______ ______ J. Muscle weakness. ______ ______ K. Headache. General precautions. ______ ______ A. Take apical pulse one full minute before administering; report any unusually low pulse rate. ______ ______ B. Take a missed dose within 12 hours but do not double dose. ______ ______ C. Store in tightly closed containers and keep away from heat and light. ______ ______ D. Establish a regular routine of taking medication at the same time each day. ______ ______ E. Never change dose or discontinue without orders from the physician. ______ ______ F. Do not substitute one brand for another. ______ ______ G. Keep appointments with laboratory to have digoxin blood levels and potassium blood levels taken as ordered. ______ ______ H. Keep follow-up appointments with physician and ECG studies as ordered. ______ ______ I. Avoid any over-the-counter medications without permission from the physician due to possible interactions. (Certain medications such as antacids, antidiarrheals, and laxatives decrease digoxin absorption.) ______ ______ J. Report any adverse reaction. ______ ______ K. Report signs of digoxin toxicity such as loss of appetite, nausea, blurred vision, slow heart rate, mental confusion, blurred vision, and dizziness.