The nurse is caring for an infant with a diagnosis of VSD that weighs 3200g. The healthcare provider has prescribed digoxin 15mcg/kg/day given in divided doses every 8 hours. Digoxin is supplied .05mg/mL. Calculate how many mL of digoxin you will administer to your client per dose. Round to the nearest hundredth.

1. Calculate the total daily dose: Total daily dose (mcg) = Dose per kg (mcg/kg) x Weight (kg) Total daily dose (mcg) = 15 mcg/kg x 3.2 kg = 48 mcg 2. Calculate the dose per administration: Dose per administration (mcg) = Total daily dose (mcg) / Number of doses per day Dose per administration (mcg) = 48 mcg / 3 doses = 16 mcg 3. Calculate the volume to administer: Volume (mL) = Dose per administration (mcg) / Concentration (mcg/mL) Volume (mL) = 16 mcg / 50 mcg/mL = 0.32 mL Therefore, you will administer 0.32 mL of digoxin to your client per dose.