If a client taking digoxin has a pulse of 59, what should the psychiatric technician do?

When a client taking digoxin presents with a pulse of 59 beats per minute, holding the dose and calling the physician is the most appropriate action due to the risk associated with bradycardia (slow heart rate). Digoxin is a medication used to treat certain heart conditions, and it can lead to further complications if administered when the heart rate is below the recommended threshold, which is typically set around 60 beats per minute for this medication.

By holding the dose, the psychiatric technician prioritizes client safety and ensures that the physician is informed of the bradycardic event, allowing for a clinical assessment that may include adjusting the medication or further evaluating the patient's heart condition. Additionally, monitoring the patient's pulse before administering digoxin is crucial for maintaining the therapeutic range and preventing potential toxicity, as the drug has a narrow therapeutic index.

This decision to withhold the medication reflects a careful and responsible approach, safeguarding the client while adhering to established protocols regarding the management of medications that can impact cardiac function. It is essential to recognize that administering the medication in the presence of bradycardia may lead to adverse effects, including worsening heart rhythm abnormalities.