DIGOXIN

Hey all, hospital pharmacist here. I work at a large hospital (level 1 trauma center/stroke center etc) that is part of a nationwide health system. We’re the second largest hospital of close to 100 hospitals, and most of the others are small community hospitals. Our health system is transitioning to

I'm a new pharmacist (and manager) at a critical access hospital. We had a frail 84 year old patient, weighed 48 kg, CrCl 30 (at best!!!). She had CHF and aFib. Dr. ordered digoxin 500 mcg IV push. I recommended giving half the dose as a 30 min infusion, then 25% in 4-8 hours, and remaining 25% in 4

Regardless of how cynical or optimistic you are, I think we can all agree that the profession of pharmacy is definitely in the "valley" portion of the employment cycle right now. Saturation is real, the major employers are abusing their employees, reimbursement is declining - things aren't looking

Is the 30 - 50% dose reduction of digoxin only necessary when the patient has already been on prior therapy/stabilized with digoxin and then initiated amiodarone? An input into Lexi-comp indicated that the "sequence" was important. There was a patient in the pharmacy (~60 years old; male) that was