Case challenge · Cardiology / Emergency / Toxicology · teaching

Digoxin Toxicity — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on DigiFab / LITFL

Case #1Cardiology / Emergency / Toxicology

📋 Case data

Life-threatening features?Life-threatening (lethal arrhythmia / acute K >5 / unstable / large ingestion)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Life-threatening features?

Life-threatening features / acute hyperkalemia?

💡 Digoxin toxicity: nausea/vomiting/anorexia, yellow-green vision, delirium; arrhythmias (increased automaticity + AV block, e.g. atrial tachycardia with AV block, bidirectional VT; almost any arrhythmia except a rapidly conducting SVT). Acute hyperkalemia marks severity (K >5.0 raises mortality). Level at ≥6 h (steady state); toxicity can occur at therapeutic levels (precipitated by hypokalemia/hypomagnesemia/renal failure); total levels rise falsely after Fab.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.