Hard

A patient taking digoxin develops nausea, visual disturbances and a dangerous ventricular arrhythmia. Which treatment specifically binds and removes digoxin from active sites?

Correct answer: A. Digoxin immune Fab

  • A. Digoxin immune Fab
  • B. Sodium bicarbonate
  • C. Calcium gluconate
  • D. N-acetylcysteine

Explanation

Digoxin immune Fab consists of antibody fragments that bind circulating digoxin and reduce its toxic effects. Sodium bicarbonate is used in selected tricyclic antidepressant toxicity, while calcium gluconate and N-acetylcysteine have different indications.

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About Emergency Drugs and Antidotes

Emergency pharmacology covers drugs used in cardiac arrest, shock, severe allergy, acute asthma, seizures, poisoning and hypoglycaemia, including adrenaline, atropine, naloxone, flumazenil and selected antidotes. The focus is on indications, routes, rapid adverse effects, dose safety and matching a toxic substance with its specific reversal agent.

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