16th May 2025

Mrs Hutchinson is an 87-year-old lady who was admitted to hospital with palpitations.

Mrs Hutchinson is an 87-year-old lady who was admitted to hospital with palpitations. She was found to be in new atrial fibrillation and the decision was to start digoxin and over the following 24 hours she received 1250 micrograms of digoxin in divided doses before being started on maintenance therapy. The following day she began to complain of nausea and abdominal pain, and she seemed more lethargic than previous. It was thought that she may have digoxin toxicity, so a digoxin level was taken. When should a digoxin level be taken?

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