Digitalis

A CHF patient was just recently started on digitalis regimen. Your discharged instruction include/s except

A. Hold if apical pulse is less than 60
B. Include potassium rich foods in the diet
C. Yellow spots around your eyes is normal
D. Digoxin level will routinely be ordered

Answer C: Yellow spots around your eyes is not normal. This is a late sign of digitalis tocity. Answers A, B, D are all correct.