1. Scenario 10.1 Digoxin Overdose

2. ECG

3. CT Head Radiology Preliminary Read: Normal

4. Portable Chest X-ray Radiology Preliminary Read: Normal

5. ValueNormal range WBC10.04.8-11.8 bil/L HGB10.810.5-15.0 g/dL HCT33.632-46% Plts266130-460 bil/L Complete Blood Count

6. Complete Metabolic Panel ValueNormal range Na145134-147 mmol/L K5.93.5-5.0 mmol/L Cl10898-109 mmol/L CO 2 2623-33 mmol/L BUN167-20 mg/dL Cr1.00.7-1.3 mg.dL Glu10870-185 mg/dL Ca2.32.2-2.7 mmol/L Total protein7.96.3-8.2 g/dL Albumin4.43.8-5.2 g/dL AST100-30 U/L ALT60-37 U/L Alk. phos.10037-112 U/L T. Bili0.50-1.0 mg/dL

7. Cardiac Enzymes ValueNormal range CK5041-266 U/L CK-MB20-7.5 ng/mL Trop-I<0.06  0.06 ng/mL

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

9. Urinalysis Clarityclear Coloryellow Glucosenegativenegative mg/dL Bilirubinnegative Ketonesnegativenegative mg/dL Sp. grav.1.0081.003-1.050 Bloodnegative pH6.55.0-8.0 Proteinnegativenegative mg/dL Urobilinogennegative<0.2 EU/dL Nitritesnegative Leukocytesnegative

10. Lactate ValueNormal range Lactate4.10.5-1.8 mmol/L

11. Coagulation Panel ValueNormal range PT10.09.2-11.7 s PTT2722-35 s INR1.00.8 – 1.2

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

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

14. Serum Toxicology ValueNormal Range Acetaminophennot detected Ethanolnot detected Salicylatesnot detected