Final answer:
The nurse should prepare 250 mcg of Digoxin to administer to the patient at each dose.
Step-by-step explanation:
The maintenance dosage of Digoxin for the 13-month old with a congenital heart defect is 50 mcg/kg/day. The child weighs 10 kg. To calculate the dose needed for each administration, we multiply the weight of the child by the dosage per kilogram:
Dose = Weight x Dosage per kilogram
Substituting the values:
Dose = 10 kg x 50 mcg/kg/day
Calculating the dose:
Dose = 500 mcg/day
Since the Digoxin is prescribed BID (twice a day), we divide the total daily dose by 2 to get the dose for each administration:
Dose per administration = 500 mcg/day / 2
Dose per administration = 250 mcg
Therefore, the nurse should prepare 250 mcg of Digoxin to administer to the patient at each dose.