Scenario 10.1 Digoxin Overdose

ECG

CT Head Radiology Preliminary Read: Normal

Portable Chest X-ray Radiology Preliminary Read: Normal

ValueNormal range WBC bil/L HGB g/dL HCT % Plts bil/L Complete Blood Count

Complete Metabolic Panel ValueNormal range Na mmol/L K mmol/L Cl mmol/L CO mmol/L BUN mg/dL Cr mg.dL Glu mg/dL Ca mmol/L Total protein g/dL Albumin g/dL AST U/L ALT60-37 U/L Alk. phos U/L T. Bili mg/dL

Cardiac Enzymes ValueNormal range CK U/L CK-MB ng/mL Trop-I<0.06  0.06 ng/mL

ValueNormal range BNP112<100 pg/mL Pro-B Natriuretic Peptide

Urinalysis Clarityclear Coloryellow Glucosenegativenegative mg/dL Bilirubinnegative Ketonesnegativenegative mg/dL Sp. grav Bloodnegative pH Proteinnegativenegative mg/dL Urobilinogennegative<0.2 EU/dL Nitritesnegative Leukocytesnegative

Lactate ValueNormal range Lactate mmol/L

Coagulation Panel ValueNormal range PT s PTT s INR – 1.2

Digoxin Level ValueNormal range Digoxin2.5<2 ng/mL

Urine Toxicology ValueNormal range Amphetamine/Ecstasynot detected Barbituratesnot detected Benzodiazepinesnot detected Cocaine metabolitenot detected Sp codeine/morphinenot detected THCnot detected Methadonenot detected

Serum Toxicology ValueNormal Range Acetaminophennot detected Ethanolnot detected Salicylatesnot detected