Digoxin Administration & Bradycardia: Safety Guidelines for Nurses

It is generally safe to give digoxin to a client with a pulse rate below 70, but it should be noted that a slow pulse rate can be one of the signs of digoxin toxicity.

Therefore, it is important to carefully monitor the client's pulse rate when administering digoxin and to adjust the dose as necessary.

It is also possible for clients to experience digoxin toxicity while maintaining a normal pulse.

Therefore, it is also important to monitor client's serum digoxin levels and other factors such as renal function, electrolyte balance, and concomitant medications that can alter the metabolism or excretion of digoxin.