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Digoxin toxicity — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsDigoxin toxicityGPhC CRA

An older patient taking digoxin reports nausea, yellow-green visual disturbance and new confusion. They also take furosemide and their last renal function check was several months ago. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Withhold supply and refer urgently for assessment

The symptom cluster suggests possible digoxin toxicity, which can be precipitated by renal impairment or electrolyte disturbance. Urgent clinical assessment and serum digoxin/electrolyte review are needed. In this scenario, the correct option is withhold supply and refer urgently for assessment. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF