Please enable JavaScript.
Coggle requires JavaScript to display documents.
Digoxin
poisoning (Clinical
presentation (Malaise, Delerium, N+V,…
Digoxin
poisoning
-
Diagnosis
Examination
Cardio
Bradycardia, irregular rhythm,
syncope, cardiac arrest
Investigations
Bloods
ABG (metabolic acidosis if severe; hyper-K),
U+E (hyper-K), LFTs, clotting
Toxicology (digoxin)
-
Bedside
Obs (bradycardia)
ECG (bradycardia, PR prolongation, QRS prolongation,
AV block, escape rhythms, VT, ectopics)
History
SH
Living arrangements, social support,
occupation, smoking, alcohol, drugs
DH
Digoxin, other meds,
allergies
PMH
Cardiac disorder,
other medical problems
PC/HPC
N+V, malaise, yellow vision,
delerium, cardiac arrest
-
Pathophysiology
Cardiac glycoside, main actions on heart; causes bradycardia, PR and QRS prolongation, blocks, ectopics and VT
Can also cause hyper-K and metabolic acidosis (lactate)
Similar effects by foxglove, olenader and yew
Management
-
Definitive
Conservative
Information, advice, support
Monitoring (ECG, ABG, U+E)
Consult toxbase
-
-