Digoxin toxicity
- Stop digoxin and correct K/Mg abnormalities
- Digoxin immune Fab for severe/life-threatening toxicity
- Indications: unstable arrhythmia, shock, severe K rise
- Atropine can temporize symptomatic bradycardia
- Avoid routine cardioversion unless necessary
- Post-Fab total digoxin levels are misleading
Use at a glance
- Stop digoxin and correct K/Mg abnormalities
Practical pearls
- Atropine can temporize symptomatic bradycardia
- Post-Fab total digoxin levels are misleading
Other practical pearls
- Indications: unstable arrhythmia, shock, severe K rise
Safety / pitfalls
- Digoxin immune Fab for severe/life-threatening toxicity
- Avoid routine cardioversion unless necessary
Self-check
- Are total digoxin levels reliable after Fab?
No—misleading. - Which procedure is avoided in digoxin toxicity unless necessary?
Routine cardioversion unless necessary.
Drugs used for this (1)
All clinical uses · Open Digoxin toxicity in the interactive console ↗