A 2 week old patient in the NICU has a 'machine like murmur, poor growth and bounding pulses. He has been diagnosed with a Patent Ductus Arteriosus. What medication would the nurse anticipate administering to this patient?
Explanation & Rationale
Rationale: A. Digoxin: Digoxin is used to improve cardiac contractility and manage heart failure symptoms, but it does not promote closure of the patent ductus arteriosus (PDA). It may be part of supportive care but is not the primary treatment for PDA. B. Prostaglandin: Prostaglandins keep the ductus arteriosus open, which is useful in some congenital heart defects requiring ductal patency. However, in PDA, the goal is to close the ductus, so prostaglandin administration would be contraindicated. C. Furosemide: Furosemide is a diuretic used to manage fluid overload and heart failure symptoms but does not affect ductus arteriosus closure. It may be used adjunctively if heart failure develops. D. Indomethacin: Indomethacin is a nonsteroidal anti-inflammatory drug that inhibits prostaglandin synthesis, promoting closure of the patent ductus arteriosus. It is the first-line medication used to medically close PDA in neonates.