SAQ 1826 – Confusion and vomiting with bradycardia and ECG

Marked out of 10.00

A 65-year-old man is sent to your ED by his LMO with confusion and vomiting. He takes digoxin for AF. At triage his systolic BP is 95 mmHg and HR is 40/min. Earlier blood results show Na 142, K 6.7, creatinine 502 and urea 50.1. A digoxin level has been sent but is not yet available. His ECG is shown below.

ECG from the source question in a patient with bradycardia
ECG from the source question.

List three ECG features that confirm your clinical suspicion of digoxin toxicity.

(Marked out of 3.0)


/ 3

Name two indications for digoxin immune Fab in this patient and two other general indications.

(Marked out of 4.0)


/ 4

List three further treatments specific to this patient and briefly justify each.

(Marked out of 3.0)


/ 3

Total Score: 0 / 10

Percentage: 0%