What should be assessed before administering digoxin?

Before administering digoxin, it is crucial to assess the patient's vital signs, particularly focusing on heart rate and rhythm. Digoxin is a cardiac glycoside used to treat heart failure and certain arrhythmias, and it has a narrow therapeutic range. Monitoring the pulse before administration is important because a low heart rate (bradycardia) can indicate that the heart is not functioning optimally, which could lead to adverse effects if digoxin is given.

If the heart rate is below a certain threshold—commonly 60 beats per minute in adults—administration of digoxin may need to be held, and the healthcare provider should be notified. Additionally, monitoring blood pressure is vital, as variations can influence drug efficacy and patient safety.

While evaluating other factors such as food intake, mobility, and psychological state is important in providing holistic care to the patient, they are not the immediate priorities when considering the administration of digoxin. The focus on vital signs ensures the medication is given safely and effectively, minimizing the risk of potential complications.