
Digoxin Toxicity
Digoxin toxicity is characterised by gastrointestinal distress, hyperkalemia and life-threatening dysryhthmias, including increased automaticity and AV nodal blockade

Digoxin toxicity is characterised by gastrointestinal distress, hyperkalemia and life-threatening dysryhthmias, including increased automaticity and AV nodal blockade

Activated Charcoal: decontamination agent; absorbing molecules of drug on its surface -> inhibiting their absorption by as much as 50% -> excretion in faeces

Optimal dose of renal replacement therapy (RRT) is controversial... the definition of dose in clinical practice is also a little controversial!

Renal Literature Summaries

Continuous Renal Replacement Therapy (CRRT) Circuits: used in renal replacement therapy; therapeutic plasma exchange; and haemoperfusion

Sepsis Literature Summaries

Opioid Withdrawal

Opioid Overdose: miosis; CNS depression; respiratory depression; complications of hypoxia: seizures, dysrrhythmia, brain injury

Paraquat Poisoning; highly toxic herbicide; common agent in suicide in 3rd world; leading single agent causing death from pesticide poisoning in many countries including Sri Lanka

Sedative toxidrome: agents - opioids; benzodiazepines; barbiturates; baclofen (may mimic brain death, suspect in MS patients); clonidine (mimics opioid toxidrome with marked bradycardia and hypotension)
GHB

SIADH = Syndrome of inappropriate antidiuretic hormone secretion. Important cause of HYPOnatraemia

Overview Causes Increased potassium intake (rare) Increased release from tissues Decreased renal excretion Transcellular shift Factitious (Pseudo-hyperkalaemia) Drugs causing hyperkalaemia References and Links LITFL