Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  Digoxin... 




Login or Register to post messages 




Author7 Posts
  #1

how is the effectiveness of digoxin assessed once it is started day to day?
a. ECG
b. Pulse deficit
c.Apex beat
d. symptomatic

  #2

ECG

  #3

d. symptomatic

___________________
Roz barhta hoon jahan se aagey
lout kar phir waheen aa jata hoon
baaraha tor chuka hoon jinko
phir unhin dewaroon se takrata hoon...

  #4

symptomatic

___________________
hi how r u

  #5

ECG...i think...or Dig level...or K level.

___________________
"Life not lived for others, is not worth living" Uncle Einstein
"A life is not important, except in the impact it has on other lives" -Jackie Robinson

  #6

the answer mentioned is Apex beat, which i find very surprising
i had answered ECG too
if any body can enlighten me more on this it will be great!!


following are the toxicity S/S

Symptoms
Anorexia
Nausea
Vomiting
Somnolence
Muscle weakness
Diarrhea
Yellow vision (xanthopsia)


Labs
Serum Digoxin Level over 2.5 mg/ml
Does not always correlate with toxicity
Toxicity may occur at low levels and not at high ones
[b]Electrocardiogram
Dysrhythmia
Premature beats
Bigeminy
Paroxysmal Atrial tachycardia with 2:1 AV Block
Atrial Fibrillation
Nodal rhythm
Ventricular Tachycardia
T Wave inversion
ST Depression
PR interval increased

  #7

Well, digoxin is given in pts with CHF as a positive ionotropic agent. So probably by assessing apex beat they mean assessing S3. As heart failure improves S3 disappears.
But I am still convinced that symptomatic assessment is probably a better criterion (stubborn).
ECG, dig. levels and K levels are all checked in dig. toxicity. They are not used to assess the effectivity of digoxin.

___________________
Roz barhta hoon jahan se aagey
lout kar phir waheen aa jata hoon
baaraha tor chuka hoon jinko
phir unhin dewaroon se takrata hoon...









Login or Register to post messages


















Contact us | Terms & Conditions | Privacy Policy

Copyright @ Prep for USMLE. All rights reserved.