Safety & LegalQuestion 75 of 100

A resident is ordered digoxin. The 'hold parameter' commonly requires the aide to withhold the dose and notify the nurse if:

a.The blood pressure is above 120/80
b.The resident just ate breakfast
c.The resident is happy
d.The apical pulse is below 60 beats per minute

Explanation

Digoxin slows the heart, so a common hold parameter is an apical pulse under 60, at which point the dose is held and the nurse is told. Following hold parameters prevents dangerous bradycardia and toxicity.

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