I just completed my orientation and was released so I am a newgrad LVN working fulltime days. I had a situation with a pt who has a Hx of HR of 60 at best he has bottomed out before around 45bpm when given meds. I gave lasix, lisinopril, coreg, and held digoxin V/S 130's/60's hr 58 at 9am pass around 3 the MD came on the unit and i notifed him of the situation and new V/S 98/63 hr 54, and the MD verbalized to give digoxin. I confirmed with pharmacy and they stated the pt might experience syncope with walking i replied he is bedbound...I gave the digoxin documented MD aware and apical pulse 54...he stayed at a HR of 49-50 for the rest of my shift at 7pm...what would have you done I looking to learn one nurse on the unit agreed with what i did another said she would have presented the situation to the MD that she is holding the med and not giving it and notifing the MD of the action.