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Intoxicación digitálica - Treatment

Tratamiento:

En una emergencia, si es necesario, administre respiración artificial (ver RCP) y consiga asistencia médica profesional.

Las arritmias deben tratarse según el tipo de éstas que se desarrolle.

Si la intoxicación se debe a una exposición única, reciente y aguda, el tratamiento puede consistir en:

  • Carbón activado
  • Sonda a través de la boca hasta el estómago para vaciar este último ( lavado gástrico)

Los niveles de digitoxina en la sangre se pueden disminuir con dosis repetitivas de carbón activado, administradas después del lavado gástrico.

Los métodos para inducir el vómito generalmente no se realizan debido a que éste puede empeorar el ritmo cardíaco lento.

En los casos graves, se pueden prescribir medicamentos como anticuerpos específicos para digoxina. Es posible que sea necesario realizar una hemodiálisis para reducir los niveles de digitálicos en el organismo.

Expectativas (pronóstico):

El pronóstico varía dependiendo del grado de la toxicidad y de las arritmias que se presenten.

Complicaciones:

Situaciones que requieren asistencia médica:

Consulte con el médico si está tomando medicamentos digitálicos y se desarrollan síntomas de intoxicación digitálica.

  • Reviewed last on: 2/13/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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