Signs of Digoxin Toxicity

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Which of the following is a sign of digoxin toxicity that patients should be educated to monitor?

O Weight gain

O Fatigue and visual changes

O Increased appetite

O Hypertension

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Step 1

In this pharmacology question, we are asked to identify a sign of digoxin toxicity that patients should be educated to monitor.

Digoxin Toxicity Monitoring

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Step 2

Digoxin is a cardiac glycoside used to treat heart failure and certain heart rhythm problems. However, it has a narrow therapeutic range, meaning the difference between a helpful dose and a toxic dose is very small.


Key Pharmacology Concept: Digoxin

- Classification: Cardiac Glycoside

- Therapeutic Range: Narrow (0.5 to 2.0 ng/mL)

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Step 3

Let's evaluate the options provided to see which one aligns with classic toxicity symptoms.


Evaluation of Symptoms:

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Step 4

First, we look at weight gain. Weight gain is usually monitored in heart failure patients to check for fluid retention, but it is not a primary symptom of digoxin toxicity itself.

$$1.\text{ Weight gain} \rightarrow \text{Fluid status monitor (Heart Failure)}$$
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Step 5

The second option is fatigue and visual changes. This is a very common clinical manifestation of digoxin toxicity. Patients often report blurred vision, yellow-green halos, or general muscle weakness and exhaustion.

$$2.\text{ Fatigue and visual changes} \rightarrow \text{Classic toxicity signs}$$

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About This Question

Subject
Medicine
Topic
Pharmacology
Difficulty
Medium
Question Type
Multiple Choice

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