A 75-year-old is brought to the emergency department by her daughter. The patient has been feeling sick for the past day. The patient’s daughter suspects she may have taken an excessive amount of digoxin tablets in the past few days. You are worried about digoxin toxicity. What antidote should be readily accessible in the emergency department for the treatment of digoxin toxicity?
A 15-year-old girl is prescribed prochlorperazine for symptoms of dizziness and nausea. Shortly after taking the medication, she experiences an acute dystonic reaction.
What is the most suitable treatment for this reaction? Choose ONE option only.
A 72-year-old woman has been referred to the Emergency Department by her primary care physician after a review of her digoxin prescription. Her physician reports that her current digoxin levels are elevated.
At what digoxin level is toxicity typically observed?
A 60-year-old man presents with frequent urination and excessive thirst. He has a history of bipolar affective disorder, which has been effectively managed with lithium for many years.
You schedule blood tests for him, and the results are as follows:
Na: 150 mmol/L (135-147 mmol/L)
K: 3.7 mmol/L (3.5-5.5 mmol/L)
Urea: 9.5 mmol/L (2.0-6.6 mmol/L)
Creatinine: 127 mmol/L (75-125 mmol/L)
What is the SINGLE most likely diagnosis?
A 67 year old individual experiences muscle rigidity and fever after being intubated. Your supervisor instructs you to administer dantrolene. What is the mechanism of action of dantrolene?
A 75-year-old man with a history of heart failure and atrial fibrillation comes in with severe vomiting and diarrhea. Blood tests are done, and an electrolyte imbalance is observed.
Which electrolyte imbalance poses the greatest risk for a patient who is on digoxin?
A 65-year-old patient arrives at the hospital after an acute digoxin overdose. She is experiencing nausea and complaining of irregular heartbeats.
Which of the following is NOT a reason to administer DigiFab to this patient?
A 65-year-old patient arrives after an acute overdose of digoxin. She is experiencing nausea and is expressing concerns about palpitations.
What is the indication for administering DigiFab to this patient?
A 68-year-old is brought to the emergency department by his son. The patient complained of feeling sick. On checking the patient’s medication, the son suspects he may have taken an excessive amount of digoxin tablets in the past few days. You are worried about digoxin toxicity. Which electrolyte imbalance is most frequently linked to triggering digoxin toxicity?
A 65-year-old patient comes in after a chronic overdose of digoxin. She complains of nausea, extreme fatigue, and overall feeling unwell.
What is the indication for using DigiFab in this patient?