A 76-year-old woman is taken to the emergency room by her son as a result of recent confusion and lack of energy. The patient takes a number of drugs and has congestive heart failure and chronic atrial fibrillation. She has been feeling nauseous and less hungry lately. Today, she vomited three times. Additionally, the patient mentions eyesight issues. Blood pressure is 133/80 mm Hg and the temperature is 36.7 C (98 F). Laboratory results are as follows: ECG shows junctional escape rhythm at a rate of 48/min with occasional ventricular premature beats. Increased blood level of which of the following medications is most likely responsible for her symptoms?

Question

A 76-year-old woman is taken to the emergency room by her son as a result of recent confusion and lack of energy. The patient takes a number of drugs and has congestive heart failure and chronic atrial fibrillation. She has been feeling nauseous and less hungry lately. Today, she vomited three times. Additionally, the patient mentions eyesight issues. Blood pressure is 133/80 mm Hg and the temperature is 36.7 C (98 F). Laboratory results are as follows:  ECG shows junctional escape rhythm at a rate of 48/min with occasional ventricular premature beats.  Increased blood level of which of the following medications is most likely responsible for her symptoms?

Quizplus · Accepted Answer

Eductional Objective: Heart arrhythmias, generalized gastrointestinal (nausea, vomiting), neurological (confusion, weakness), and visual symptoms are how digoxin poisoning commonly manifests. Digoxin toxicity is also indicated by elevated potassium levels, which are brought on by Na-K-ATPase pump suppression.

A 76-Year-Old Woman Is Taken to the Emergency Room by Her