A 3-year-old female ingested six 0.25-mg digoxin tablets about 2 hours ago. She is awake, alert, and taking the bottle. Pulse is 50, strong, and regular. Respirations are 30, regular, unlabored. Capillary refill is less than 2 seconds. Skin is pink and warm. BP is 90 by palpation. ECG shows a sinus bradycardia with a first-degree AV block. You should administer:
a. 0.2 mg/kg atropine IV push.
b. 0.01 mg/kg epinephrine IV push.
c. 5 mg/kg calcium chloride IV push.
d. oxygen by blow-by, monitor, and transport.
Answer: B. 0.01 mg/kg epinephrine IV push.
Health Professions
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