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What is Mention the true/false statements about digoxin toxicity? and explain in detail?
Ans. All are true about digoxin toxicity.DIGOXIN TOXICITY:Features:Generally unwell & lethargy.Nausea & vomiting.Confusion.Yellow-green vision.Arrhythmias (e.g. AV block, bradycardia)Dizziness.Precipitating factors:Renal disease HypokalaemiaHypomagnesemia HypoalbuminemiaHypothermiaHypothyroidismHypercalcemia.HypernatremiaAcidosis.Myocardial ischemia.Paial AV block.Drugs:Amiodarone.Quinidine.Verapamil.Spironolactone.Furosemide.Hydrochlorothiazide - Compete with DCT secretion, hence reducing excretion.ManagementDigibind.Correct ventricular arrhythmia by lignocaine.Bradyarrhythmias by propanolol.Atrial tachyarrhythmias by atropine.Phenytoin.Monitor K+