May have obvious facial, oral burns and emesis. Have hoarseness and stridor reflecting epiglottic edema. This especially true in acids. Do not induce emesis or lavage patient. Charcoal is not indicated.
Any cardiac arrhythmia is possible with digoxin intoxication.
Hyperkalemia, elevated serum digoxin level. If dose unknown and cannot get digoxin level, give 10 to 20 vials. If more likely a chronic toxicity, give 4 or 5 vials to start. Will measure both bound and unbound digoxin. Central nervous system including confusion, coma, seizures, headache, fatigue, nausea.