PO, IM, or IV. Highly individualized. See individual drugs: digitoxin, digoxin. The rates at which clients become digitalized vary considerably. Clients with mild signs of congestion can often be digitalized gradually over a period of several days. Clients suffering from more serious congestion, for example, those showing signs of acute LV failure, dyspnea, or lung edema, can be dig-italized more rapidly by parenteral administration of a fast-acting cardiac glycoside. Once digitalization has been attained (pulse 68—80 beats/min) and symptoms of CHF

have subsided, the client is put on maintenance dosage. Depending on the drug and the age of the client, the daily maintenance dose is often approximately 10% of the digitalizing dose.

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