Acute digitalis effects (elevated levels in children and intentional overdose):
Inhibits sodium-potassium ATPase pump in cell membranes
Allows more calcium ions to enter cell and cardi...
Toxicity onset: 2 hr after PO ingestion and 15 min following IV
Occurs with normal digoxin levels (chronic)
May be absent with elevated digoxin levels (acute)
Establish IV access
Continuous cardiac monitoring
Apply pads for potential cardioversion
If cardioversion is necessary for tachydysrhythmias, use low levels (50 J)
May precipitate re...
Unstable cardiovascular status in acute or chronic toxicity
Asymptomatic or mildly symptomatic dysrhythmia
High risk for developing toxicity
Erickson CP, Olson KR. Case files of the medical toxicology fellowship of the California poison control system-San Francisco: calcium plus digoxin-more taboo than toxic? J Med Tox...
T46.0X1A Poisoning by cardi-stim glycos/drug simlar act, acc, init
T46.0X4A Poisoning by cardi-stim glycos/drug siml...
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