A 28-year-old male has taken a deliberate overdose of his mother's digoxin tablets. He is bradycardic at 35 bpm with a blood pressure of 70/40 mmHg. H...

Question

A 28-year-old male has taken a deliberate overdose of his mother's digoxin tablets. He is bradycardic at 35 bpm with a blood pressure of 70/40 mmHg. His ECG shows complete heart block with a slow ventricular escape rhythm. Atropine has been ineffective. What is the specific antidote?

Accepted Answer

Digoxin-specific antibody fragments (DigiFab)

Answer

IV glucagon 5 mg

Answer

IV calcium chloride 10%

Answer

Temporary transcutaneous pacing only

Answer

IV isoprenaline infusion

uk-dipimc MCQ (SBA): Digoxin Toxicity

A 28-year-old male has taken a deliberate overdose of his mother's digoxin tablets. He is bradycardic at 35 bpm with a blood pressure of 70/40 mmHg. His ECG shows complete heart block with a slow ventricular escape rhythm. Atropine has been ineffective. What is the specific antidote?