Digoxin Chronic Flashcards
1
Q
Dig Chronic Risk Assessment
A
Level 1.9 to > 3.2 nmol/L- increasing features
2
Q
Dig Clinical
A
Bradycardia
GI- N&V, Abdo pain
CNS: lethargy/ confusion
Visual: decreased acutiy/ chromatopsia/ yellow haloes
3
Q
Digoxin toxicity: Investigations
A
Serum levels correlate poorly with toxicity
Intercurrent illness
K
4
Q
Digoxin Toxicity mx
A
Similar to Acute - 1-2 amps when clinical features & elevated serum level Discontinue Digoxin Correct Hypokalemia Correct hypovolemia Assess & mx intercurrent illness