What symptoms might the client exhibit that are indicative of digitalis toxicity?
The clinical manifestations of digitalis toxicity are often vague and nonspecific and include anorexia, fatigue, and changes in mental status, especially in older adults. Toxicity may cause nearly any dysrhythmia, but PVCs are most commonly noted. Assess for early signs of toxicity such as bradycardia and loss of the P wave on the ECG. Carefully monitor the apical pulse rate and heart rhythm of patients receiving digoxin.