FPGEE Foreign Pharmacy

Category - Social & Administrative

As a hospital pharmacist, you are given an order that reads: Digoxin, 5mg/mL IV over 24 hrs. What should be your next step?
  1. Call the prescribing physician with a question about the dose.
  2. Dispense as prescribed.
  3. Dispense as prescribed, but note your concerns on the record.
  4. Call the prescribing physician with a question about the route of delivery.
Explanation
Answer: A Digoxin comes in 0.05mg, 0.1 mg and 0.25 mg/mL doses. 5 mg /mL represents an overdose. The prescribing physician must be notified. Digoxin can cause severe arrhythmias and it is unethical to simply document your concerns. Digoxin can be given orally or by IV.
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