KROK 1 2012 – Question 73 · KROK (Medicine) · Pharmacology
A 65 year old patient with chronic heart failure has been taking digitoxin in self-administered dosages for a long time. She was admitted to the hospital for general health aggravation, arrhythmia, nausea, reduced diuresis, insomnia. What is the primary action to be taken?
- A. To administer digoxin
- B. To administer strophanthine intravenously
- C. To reduce digitoxin dosage
- D. To withhold digitoxin
- E. To give an intravenous injection of calcium gluconate solution
Hint
Ask whether the new complaints reflect worsening heart failure or an effect of the long-term, self-adjusted treatment, and what the first step is in each case.
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