What is the recommended action if a resident's pulse is below 60 beats per minute before administering digoxin?

When a resident's pulse is below 60 beats per minute, it indicates bradycardia, which can be a significant concern, especially when administering digoxin. Digoxin is a medication that can affect heart rate and contractility, and it is particularly used in cases of heart failure and certain types of arrhythmias. However, one of the critical safety protocols when giving digoxin is to assess heart rate beforehand.

If the pulse is below 60 beats per minute, it is essential to consult a physician before administering the medication. This is a safeguard to ensure that it is safe for the resident to receive digoxin at that time, as administering it in the presence of bradycardia could lead to adverse effects such as further slowing of the heart rate or other complications. This consultation allows the healthcare provider to assess the situation thoroughly and determine the appropriate course of action based on the individual resident's health status.

This approach aligns with best practices for medication administration, emphasizing patient safety and appropriate clinical judgment.