Kaplan Pharmacology Integrated

Kaplan Pharmacology Integrated
The nurse prepares to administer
digoxin 0.01 mg/kg PO to a 2-
month-old infant. The infant weighs
5 kg.The sleeping infant's apical
pulse is 70 bpm. The nurse takes
which most appropriate action?
Withholds the medication and notifies the health care
provider immediately.
Digoxin belongs to the class of medicines called digitalis
glycosides. It is used to improve the strength and
efficiency of the heart, or to control the rate and rhythm
of the heartbeat. This leads to better blood circulation and
reduced swelling of the hands and ankles in patients with
heart problems.. It is used to treat congestive heart failure,
usually in combination with a diuretic (water pill) and an
angiotensin-converting enzyme (ACE) inhibitor. It is also
used to treat a heart rhythm problem called atrial
fibrillation.
What is a normal apical pulse for an infant?
newborn: 100-170 bpm. 6 months to 1 year: 90-130 bpm. 2
to 3 years: 80-120 bpm. 4 to 5 years: 70-110 bpm.

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