Things to note: Digoxin in Pediatrics

1. You must always check apical pulses in Kids before giving Digoxin
2. If they are bradycardic hold the Digoxin and call the physician
   < 100 beats / min for infant and toddler
   < 80 beats in the older child
   < 60 beats in the adolescent
   
3. Teach parents signs of Digoxin toxicity which includes vomiting in children and sight alteration(double vision) which babies cannot tell you but older kids may be able to tell you.
4. Digoxin must be given when due, if a dose is missed call the physician
5. Digoxin cannot be made up if for example the child throws up after you give the med, you have to call the doctor
6. Digoxin toxicity can occur when taking lasix as well why? Because lasix depletes pottassium which gives Digoxin more receptors to bind to hence rendering it toxic.