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Episode 90 – Low and Slow Poisoning

Emergency Medicine Cases

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Importance of Waiting Six Hours After Digoxin Dose for Accurate Interpretation

This chapter discusses the importance of waiting six hours after a patient's last dose or overdose of digoxin to accurately interpret their digoxin level. Taking the level earlier can result in a falsely high reading. The chapter also highlights a pitfall in interpreting digoxin levels, which is that people can be toxic at doses within the normal range, causing confusion in diagnosis. Overall, the chapter emphasizes the need to wait six hours for accurate interpretation of digoxin levels to avoid false positives and false negatives.

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