Drugs

Question 1

Digoxin: indication

Answer 1

AF rate control
sometimes used for symptom management in HF

Question 2

Digoxin: monitoring

Answer 2

Narrow therapeutic index
Not routinely monitored, unless digoxin toxicity suspected
Digoxin concentrations taken 8-12 hours from last dose if toxicity suspected

Question 3

Digoxin toxicity symptoms

Answer 3

Generally unwell, lethargy, nausea & vomiting, anorexia, confusion, yellow-green vision
Arrhythmias (e.g. AV block, bradycardia)
Gynaecomastia