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Digoxin Toxicity Rx — RACP Adult Medicine MCQ

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ModerateEmergency MedicineDigoxin Toxicity RxRACP Adult Medicine

A 70-year-old woman on digoxin 250 mcg develops nausea, visual disturbances, and bidirectional VT. Digoxin level 4.2 nmol/L. K+ 5.8. Specific treatment?

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Correct answer: CDigoxin-specific antibody fragments (DigiFab)

DigiFab for severe digoxin toxicity with arrhythmia. IV calcium CONTRAINDICATED in digoxin toxicity (may worsen arrhythmias).

Reference: eTG – 2025 – Toxicology; AMH – 2025