Convert any Digoxin Level result between units on the unit converter.
What is the normal range for Digoxin Level?
The standard teaching reference range for Digoxin Level is 0.8–2 ng/mL in conventional units, or 1–2.6 nmol/L in SI units. This value is measured in serum (trough, ≥ 6 h post-dose).
A commonly taught critical (panic) value is > 2.0 ng/mL is toxic (many target 0.5–0.9 in heart failure). Critical results are reported to the provider immediately under your facility's policy.
Source: Adult reference values compiled from Pagana & Pagana, Mosby's Diagnostic and Laboratory Test Reference, and Fischbach & Dunning, A Manual of Laboratory and Diagnostic Tests. Reference ranges vary by laboratory, method, age, sex, and population — always use the range printed on the actual result.
Above the range
Common causes of a high Digoxin Level
Renal impairment
Hypokalemia (potentiates toxicity)
Drug interactions (amiodarone, verapamil)
Overdose
Below the range
Common causes of a low Digoxin Level
Subtherapeutic dosing
Malabsorption
At the bedside
Nursing considerations
Hold the dose and check for nausea, visual halos, and bradycardia when toxic.
Hypokalemia and hypomagnesemia worsen digoxin toxicity — monitor electrolytes.
Digoxin immune Fab is the antidote for severe toxicity.