Before giving a dose of digoxin (Lanoxin), the nurse checked an infant's apical heart rate and it is 114 beats per minute. What should the nurse do next?
a. Administer the dose as ordered.
b. Hold the medication until the next dose.
c. Wait and recheck the apical heart rate in 30 minutes.
d. Notify the physician about the infant's heart rate.
A
The infant's heart rate is above the lower limit for which the medication is held. The dose can be given. It is unnecessary to recheck the heart rate at a later time. A dose of Lanoxin is withheld for a heart rate less than 100 beats per minute in an infant and a physician should be notified.
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