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6 Cards in this Set
- Front
- Back
List the 5 broad categories of ddx for Dig overdose.
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1) intentional vs unintentional
2) Sick sinus syndrome 3) Toxins 4) Medication interactions 5) Plants and environmental agents |
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List some patient characteristics that will alert you to keep acute on chronic dig overdose as a possible diagnosis.
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1) Elderly patient
2) CRF 3) Diuretic use 4) GIT signs and symtpoms |
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What common signs and symptoms do Dig OD and SSS share in common?
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Supraventricular tachyarrythmias and heart blocks of all varieties on ECG.
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What other medications/toxins have clinical or investigation findings that may mimic Dig toxicity?
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"CABCO":
Calcium channel blockers Antiarrythmics (class IA): procainamide & quinidine Beta blockers Clonidine Organophosphates |
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List the medications that can interact with Digoxin to produce Dig toxicity.
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"CCArP BISQuE"
Clarithromycin (most common) Calcium channel blockers Amiodarone Procainamide Beta blockers Indomethacin Spironolactone Quinidine Erythromycin |
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Exposure to which plants & toxins can cause signs and symptoms similar to those found in Dig toxic patients?
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False Hellebone
Monkshood Tobacco smoke Yewberry Rhododendron |