9/28/2023 0 Comments Digoxin antidoteEmergency ManagementĬertainly any patient with an unprotected airway should have advanced airway measures, including endotracheal intubation, performed. 3) Administer an appropriate dose of Fab fragments as indicated. 2) Determine if there are any indications for giving digoxin immune Fab fragments. The key points in management are as follows: 1) Assessment and stabilization of the airway, breathing, and circulation. Hyperkalemia or hypokalemia can be observed. Neurologic manifestations, such as lethargy, fatigue, confusion, and weakness, are common. The gastrointestinal symptoms can be less pronounced than in acute toxicity. Hyperkalemia is commonly observed, and is prognostic (see below).Ĭhronic toxicity, in contrast, is harder to diagnose, and has a more insidious onset of symptoms. Visual changes, including alteration in the color vision, are well described. Nausea, malaise, and weakness are common findings in chronic digoxin toxicity.Īcute digoxin toxicity differs significantly from chronic digoxin toxicity Acute digoxin toxicity is likely to cause gastrointestinal symptoms, such as anorexia, nausea, vomiting, and abdominal pain. Chronic digoxin toxicity frequently occurs in the elderly as a result of decreased clearance of digoxin, due to either declining renal function or drug-drug interactions. Nausea, vomiting, hyperkalemia, and dysrhythmias are common. Acute toxicity is more likely to result in a younger individual following an acute overdose. Digoxin toxicity can occur in the acute or chronic setting.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |