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ARTICLE |

Treatment for Digitalis Intoxication-Reply

Heschi H. Rotmensch, MD; Shlomo Laniado, MD
Arch Intern Med. 1979;139(8):944-945. doi:10.1001/archinte.1979.03630450086034.
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ABSTRACT

In Reply.—  Dr Frank emphasized that serum potassium levels should be carefully monitored in patients with massive digoxin poisoning, treated with intravenously administered furosemide as an attempt to increase digoxin excretion. We are, of course, aware of the possible hazards of potassium depletion, and therefore the necessity of frequent monitoring of serum potassium levels should be stressed. In our patients we managed to keep serum potassium levels within normal limits by supplementing with potassium chloride according to the serum

levels and urinary loss.  However, it has to be emphasized that forced diuresis appears to be of clinical use only in those patients who receive this therapy within six to eight hours after digoxin ingestion.

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