medication administration

  1. Is there a standard of practice that spells out how long a pulse nees to be checked on a patient who has been on digoxin for years.
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  3. by   Heather27
    I don't know if it is a standard or not, but I always check for a full minute no matter how long they have been on the drug. I mean, things change over time, and geriatric patients are rather like pediatric patients...they can change from one day to the next, or from one HOUR to the next!! Better safe than sorry!!
  4. by   LisaRN94
    I have to agree with Heather27...Pulses need to be checked for a full minute..bc the elderly patients are so really never know what is going to happen from one moment to the next..Its very frustrating.
  5. by   susan827
    I agree that pulse should be taken for a full minute prior to digoxin due to the irregularity of pulse in the elderly. Your facility most likely has a policy that dictates you take a pulse for a full minute prior to digoxin. A standard of practice is determined by your policies and the current standards of practice in your county and or state.