✔️ In infants, the acceptable apical heart rate range is higher than in older children and adults. A heart rate of 120 beats/minute is within the normal range for a 2-month-old (typically 100–160 bpm).

✔️ Digoxin is usually withheld if the infant’s heart rate falls below 90–100 beats/min, depending on provider guidelines, to avoid the risk of bradycardia. Since this infant's rate is normal, it is safe to administer the medication.

✔️ It is essential to document the apical heart rate prior to administration to maintain an accurate medication administration record and support patient safety.

✔️ This practice reflects safe medication administration protocols and supports early identification of potential digoxin toxicity, which is more likely at lower heart rates or if clinical symptoms are present.

Educational Insight

Digoxin slows conduction through the AV node and increases cardiac contractility, making it effective in pediatric heart failure. Before administering, nurses must assess the apical pulse for one full minute and follow institution-specific parameters for withholding. Proper heart rate thresholds are age-dependent, and documentation ensures safe dosing and clinical accountability.