If a resident receiving digoxin (Lanoxin) exhibits toxic symptoms, what is the appropriate action for the medication aide?

When a resident receiving digoxin exhibits toxic symptoms, the most appropriate action for the medication aide is to report the symptoms before giving today’s dose. Digoxin is a medication that requires careful monitoring because it has a narrow therapeutic index, meaning that the difference between a therapeutic dose and a toxic dose is small. Toxic symptoms can include nausea, vomiting, confusion, or changes in heart rhythm.

By reporting the symptoms prior to administering the medication, the medication aide allows for a proper assessment by the healthcare provider, ensuring the resident's safety. This allows the healthcare provider to evaluate whether to hold the medication, adjust the dosage, or take other necessary actions.

Administering today's dose despite the presence of toxic symptoms could exacerbate the situation and place the resident at further risk. Simply recording symptoms after medication administration also fails to address the immediate concerns posed by the potential toxicity. Calling the physician to report symptoms is important, but doing so after presenting the symptoms and gaining guidance on medication administration ensures that the resident receives proper care without unnecessary delays.