digitalis toxicity

digitalis toxicity

Digoxin toxicity Cardiology Clinical findings of digoxin overdose Clinical Loss of appetite, N&V, defects in color vision–reds and greens, or seeing halos around lights, psychotic changes, weakness, fatigue, or dizziness; new onset of arrhythmias typical of DT include frequent or multiform PVCs, ventricular tachycardia, atrial tachycardia with block, accelerated junctional rhythms, Wenckebach rhythms, and A Fib with slowed ventricular responses, hyperkalemia Management Discontinue digoxin, monitor arrhythmias with telemetry, correct acid-base, electrolyte, and volume abnormalities; treat medical conditions–eg, hypoxia, ischemia, and arrhythmias; arrhythmias are common and often respond to lidocaine and/or dilantin; in extreme emergencies, digoxin antibody fragments, which bind the active portion of the digoxin molecule, may be needed to ↓ DT.
References in periodicals archive ?
Congestive heart failure caused by digitalis toxicity in an elderly man taking a licorice-containing chinese herbal laxative.
3 weeks before her presentation to us, she was referred to a regional hospital, where she received Digoxine 0.25mg/day, without clinical and electrocardiographycal monitorization, so the patient developed digitalis toxicity .
DIAGNOSIS: Atrial tachycardia (214/min) with atrioventricular (AV) block and complete AV dissociation from junctional tachycardia (140/min), together with repolarization changes of digitalis, suggest digitalis toxicity.
However, the fetus also experiences adverse effects if the mother is experiencing digitalis toxicity (Frishman, Elkayam, & Aronow, 2012).
The first symptoms of digitalis toxicity often are visual and include photopsia, yellow or green discoloration of the visual field, halos, and the appearance of frost over objects.
HERBAL PRODUCTS TO AVOID IN PATIENTS WITH CARDIOVASCULAR DISEASES HERB PURPORTED USE CARDIAC ADVERSE OF INTERACTION ALOE VERA Wounds (topical), diabetes Hypokalemia (low (oral) potassium) causing digitalis toxicity and arrhythmia.
Electrocardiographic manifestations: digitalis toxicity. J Emerg Med 2001;20(2): 145-52.
Increases heart rate HERBAL PRODUCTS TO AVOID IN PATIENTS WITH CARDIOVASCULAR DISEASES HERB PURPORTED USE CARDIAC ADVERSE EFFECT OF INTERACTION ALOE VERA Wounds (topical), diabetes Hypokalemia (low (oral) potassium) causing digitalis toxicity and arrhythmia.
Expect to see an increase in hospital admissions for digitalis toxicity, theophylline toxicity, rhabdomyolysis (due to Erythromycin and most statins), renal problems (Amoxicilhn or Penicillin and Methotrexate) and so on.
Cholestyramine has been used as a treatment for intrahepatic cholestasis of pregnancy and as an antidote for some types of diarrhea, cholordecone pesticide poisoning, and digitalis toxicity. Because bile acid sequestrants are not absorbed into the systemic circulation, they do not represent a direct risk to the embryo or fetus and are considered compatible with pregnancy (all are rated risk factor B) and lactation.
Cholestyramine has been used as a treatment for intrahepatic cholestasis of pregnancy and as an antidote for some types of diarrhea, chlordecone pesticide poisoning, and digitalis toxicity. Because bile acid sequestrants are not absorbed into the systemic circulation, they do not represent a direct risk to the embryo or fetus and are considered compatible with pregnancy (all are rated risk factor B) and lactation.