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Digitalis - Coggle Diagram
Digitalis
Clinical presentation
Chronic
Tachycardia , V.Fibrillation
Hypokalmia
Mild GIT
Acute
H.block , a systole
Hyperkalmia
Vomiting
Predisposing factor to toxicity
Drug interaction
Antibiotic
Quinidine
Diuretics
Old with renal and hepatic
Sympamamiometicamine
Small therapeutic / toxic ratio
C/P
CNS
Cardiac
Ophtalmic
Electrolytes
GIT
3-5 Digitoxin
2-4 Digoxin
Action
Slow A-V node
Increase excitation & Decrease conduction
Inhibition Na/ATPase
Treatment
Chronic (acute versus)
Hospitalization
Monitoring level , ECG
Stop digitalis
All cases
Disodium EDTA for increase Ca+2
Atropine for bradycardia
K-Chloride for hypokalmia
Fab
Treatment hyperkalmia
Gl , emesis , charcoal
ABC
Source
Digitalis purpurea
Use
Supra V.A
CHF