Digoxin

Question 1

Digoxin indications

Answer 1

AF
HF

Question 2

Dose adjustments of digoxin

Answer 2

Rescue dose by half if on amidarone/dronedarone/quinine

Switching from IV to oral decrease dose by 20-33%

Question 3

Digoxin cautions

Answer 3

Hypercalcaemia
Hypokalaemia
Hypomagnesaemia
ALL INCREASE RISK OF DIGOXIN TOXICITY
thyroid disease

Question 4

Digoxin SE

Answer 4

Skin reactions
vision disorders
N+V+D

Question 5

Digoxin OD symptoms

Answer 5

Yellow vision
Blurred vision
Confusion

Question 6

Digoxin OD antidote

Answer 6

DIGIFAB

Question 7

Digoxin monitoring

Answer 7

Monitor serum electrolytes and renal function. Toxicity increased by electrolyte disturbances.

Plasma digoxin conc is done 6 hrs after dose

Question 8

Is it rate or rhythm control - digoxin

Answer 8

Rate control: Digoxin is used in the management of atrial fibrillation (AF) to control the heart rate. It works by increasing vagal tone and slowing down the conduction through the atrioventricular (AV) node, thereby reducing the heart rate in conditions like AF.