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6 Cards in this Set

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