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TOX TABLES


Digoxin

IMPORTANT SHIT

K>5 = increased mortality, K>5.5 = dead
GIT - N/V/Abdo pain
CNS - Lethargy/confusion/delirium
ECG:
Bidirectional VT
Slow AF (ie: Slow ventricle, fast atria)
Blocks - atrial tachy, ventricular brady
Scooped ST “reverse tick” (sign taking dig not toxicity)

SPECIFIC ANTIDOTE

Digibind - 1 amp per 500 mics dig
Arrest dose - 10-20 amps
Pacing (Atropine bridging)
Seek and great hyperkalaemia (avoid Calcium??)

Avoid calcium thought to cause “stone heart” - controversial, probs OK
Self-rate: