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Digoxin Toxicity Mnemonic for Nursing Pharmacology (NCLEX)

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Digoxin toxicity occurs when too much digoxin is present in the bloodstream. Symptoms of toxicity start to appear when levels of digoxin rise above 2.0.
Early signs of toxicity are often GIrelated and include diarrhea, nausea, vomiting, abdominal pain, and loss of appetite.

Late signs of toxicity include cardiovascular symptoms such as bradycardia and arrhythmias, neurological symptoms – such as headache, weakness, confusion, and fatigue, and visual symptoms – such as blurred, yellow vision with halos.

A big risk factor for digoxin toxicity is hypokalemia, so digoxin should be used cautiously in patients taking diuretics, which alter potassium levels. Digoxin should also be used cautiously in patients with kidney damage and the elderly.
Severe cases of digoxin toxicity can be treated with digibind.

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posted by Aoinesi