• Special instructions on MAR to check HR prior to administration. • Two RNs independently verify dose prior to administration.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
digoxin (Lanoxin) IV Push
Y
Y
Y
N
N
N
N
N
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent
Formulary Equivalent
digoxin (Lanoxin) 0.1 mg cap
digoxin (Lanoxin) 0.125 mg tab
digoxin (Lanoxin) 0.2 mg cap
digoxin (Lanoxin) 0.25 mg tab
Per policy, these hazardous drugs have special waste requirements.
Generic (Brand)
Waste Requirements
digoxin (Lanoxin)
Injection contains alcohol ⇒ BLACK BUCKET
Adult Extravasation Management
Generic (Brand)
Vesicant / irritant
Local Care
digoxin (Digitek, Digox, Lanoxin)
Vesicant
None
Enteral Drug Administration notes.
Generic (Brand)
Comments and Considerations
Recommendations for Administration with Enteral Nutrition
digoxin (Lanoxin)
High-fiber containing meals may reduce oral bioavailability
Separate from fiber-containing tube feeds, otherwise no need to hold beyond flush-administer-flush
• Two RNs independently verify dose prior to administration.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
IV Push
(Brand)
(Lanoxin)