Scenario
A 77 year old man presents to your emergency department feeling generally unwell for several days. He is noted to have a pulse rate of 36 beats / minute and is normotensive.
Arterial blood gases and serum biochemical tests are performed
Question
a. Describe and interpret the results of his investigations. (70%) b. Outline your treatment of his raised digoxin level (30%)
Answer
FACEM VAQ Exam 2007.2 – Question 3
- The overall pass rate for this question was 57/77 (74.0%).
- The examiners felt that this was an excellent set of clinical data on which to base a question.
- Good answers identified all the major abnormalities plus discussed specific treatments including dialysis, use of digoxin Fab fragments and avoided the use of calcium for the hyperkalemia in the presence of digoxin toxicity.
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