A primary care NP is preparing to order digoxin for an 80-year-old patient who has systolic heart failure. The NP obtains renal function tests, which are normal. The NP should:
a. prescribe a digoxin 0.125 mg tablet once daily.
b. give an initial dose of 0.5 mg digoxin tablet and then 0.125 mg every 6 hours 4.
c. administer a digoxin 0.6 mg capsule once and then 0.3 mg every 8 hours 3.
d. administer a loading dose of intravenous digoxin in the clinic and then give 0.125 mg once daily.
A
In primary care settings, slow digitalization rather than a loading dose is generally recommended because of the risk of toxicity. Digitalization may be achieved within 1 week with the use of small daily maintenance doses.
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