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A 65-year-old woman presented to her GP complaining of nausea. She had been treated with digoxin and diuretics for cardiac failure, and had tolerated the drugs well, with no previous evidence of poor compliance or poor therapeutic control. On examination, she was found to have bradycardia. The following results were found (sampling at 14h after last digoxin dose): Serum Result Digoxin 1.9 (therapeutic range 0.5-2.0mu (g)/(L) ) Potassium 3.1 (reference range 3.6-5.0 nmol/L) What is the most likely cause of the patient's symptoms? a. Digoxin toxicity b. Deterioration of her Heart failure c. Her symptoms are non-specific d. Hypokalemia e. Diuretics overdose Clear my choice A 65-year-old woman presented to her GP complaining of nausea. She had been treated with digoxin and or poor therapeutic control.On examination,she was found to have bradycardia.The following results were found (sampling at 14 h after last digoxin dose)Serum Result Digoxin 1.9(therapeutic range 0.5-2.0 g/L) Potassium 3.1 (reference range 3.6-5.0 nmol/L) What is the most likely cause of the patient's symptoms? O a.Digoxin toxicity O b. Deterioration of her Heart failure O.c.Her symptoms are non-specific d.Hypokalemia Oe.Diuretics overdose Clear my choice 

          A 65-year-old woman presented to her GP complaining of nausea. She had been treated with digoxin and diuretics for cardiac failure, and had tolerated the drugs well, with no previous evidence of poor compliance or poor therapeutic control. On examination, she was found to have bradycardia. The following results were found (sampling at 14h after last digoxin dose): Serum Result Digoxin 1.9 (therapeutic range 0.5-2.0mu (g)/(L) ) Potassium 3.1 (reference range 3.6-5.0 nmol/L) What is the most likely cause of the patient's symptoms?
a. Digoxin toxicity
b. Deterioration of her Heart failure
c. Her symptoms are non-specific
d. Hypokalemia
e. Diuretics overdose
Clear my choice
A 65-year-old woman presented to her GP complaining of nausea. She had been treated with digoxin and or poor therapeutic control.On examination,she was found to have bradycardia.The following results were found (sampling at 14 h after last digoxin dose)Serum Result Digoxin 1.9(therapeutic range 0.5-2.0 g/L) Potassium 3.1 (reference range 3.6-5.0 nmol/L) What is the most likely cause of the patient's symptoms?
O a.Digoxin toxicity O b. Deterioration of her Heart failure O.c.Her symptoms are non-specific d.Hypokalemia Oe.Diuretics overdose
Clear my choice
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a 65 year old woman presented to her gp complaining of nausea she had been treated with digoxin and diuretics for cardiac failure and had tolerated the drugs well with no previous evidence o 03537

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A 65-year-old woman presented to her GP complaining of nausea. She had been treated with digoxin and diuretics for cardiac failure, and had tolerated the drugs well, with no previous evidence of poor compliance or poor therapeutic control. On examination, she was found to have bradycardia. The following results were found (sampling at 14h after last digoxin dose): Serum Result Digoxin 1.9 (therapeutic range 0.5-2.0mu (g)/(L) ) Potassium 3.1 (reference range 3.6-5.0 nmol/L) What is the most likely cause of the patient's symptoms? a. Digoxin toxicity b. Deterioration of her Heart failure c. Her symptoms are non-specific d. Hypokalemia e. Diuretics overdose Clear my choice A 65-year-old woman presented to her GP complaining of nausea. She had been treated with digoxin and or poor therapeutic control.On examination,she was found to have bradycardia.The following results were found (sampling at 14 h after last digoxin dose)Serum Result Digoxin 1.9(therapeutic range 0.5-2.0 g/L) Potassium 3.1 (reference range 3.6-5.0 nmol/L) What is the most likely cause of the patient's symptoms? O a.Digoxin toxicity O b. Deterioration of her Heart failure O.c.Her symptoms are non-specific d.Hypokalemia Oe.Diuretics overdose Clear my choice
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Transcript

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00:01 Okay, this question says, a 60 -year -old man entered the emergency room department after two days not feeling so well.
00:08 A patient history revealed a myocardial infarction five years ago when he was prescribed a deoxyne.
00:14 Two years ago he was, practically this patient is taking right now deoxyne, okay.
00:21 It says two years ago he was prescribed a uretic after periodic bouts of edema.
00:26 So this patient is also taking uretics, okay.
00:31 And it says an ecg performed at the time of admission indicated the presence of cardiac arrhythmia.
00:37 A chemistry testing performed on admission showed the following results.
00:41 And you have here a deoxyne level of 1 .4 nanograms per milliliter.
00:48 So practically these levels are within the reference range, okay.
00:53 They can say that the levels for sodium are 137.
00:57 So it is also within the normal range because the normal range for sodium is from 135 to 145.
01:05 Then you have a potassium levels of 2 .5.
01:08 And these levels here are low because the normal levels for potassium are from a range from 3 .5 to 5 millimoles per liter, okay.
01:20 So in this case these levels are low.
01:22 So this patient has hypokalemia, hypokalemia, okay.
01:30 And the chloride levels are 100.
01:32 In this case these levels are also normal.
01:34 Now bicarbonate levels are also normal because it ranges from 24 to 20 or from 22 to 26...
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