Home pt: on coreg BID, digoxin daily. pulse ranging 42 resting-46 walking after taking both meds. Advised pt to check pulse regularly before meds, and if under 60 to hold and call cardiologist immediately.
After a week pt stated, he was taking am dig (pulse over 60) then 1 hour later not taking am coreg b/c pulse was 55-58. Although he was taking pm dose of coreg (pulse over 60).
Should pt take both am dose of dig & coreg if pulse is 60 or over? or should he be separating his morning dose by 1 hour or two? (Ex: 7am dig; then 9am ck pulse & if 60 take coreg?)
I will be contacting his dr. shortly.
would wonder if the doctor wants to check blood levelsof digoxin? sounds like you work as a VNA unlessyou are a lurker wanting medical advice
Last edit by surferbettycrocker on Jul 23, '13
: Reason: .