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jbhetman

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  1. Coreg, dig, bradycardia

    jbhetman posted a topic in General Nursing
    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.

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