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Digoxin; total

CPT4 code

Name of the Procedure:

Digoxin, Total Level Test
Common Name(s): Serum Digoxin Test, Digoxin Blood Level

Summary

The Digoxin Total Level Test measures the amount of digoxin in your blood. Digoxin is a medication used to treat certain heart conditions, particularly heart failure and atrial fibrillation. The test ensures that digoxin levels are within a therapeutic range, avoiding toxicity or underdosing.

Purpose

This test helps manage and monitor patients being treated with digoxin. It aims to ensure the medication is at a therapeutic but non-toxic level, optimizing its effectiveness while minimizing potential side effects.

Indications

  • Symptoms such as nausea, dizziness, or arrhythmias that may indicate digoxin toxicity.
  • Routine monitoring for patients currently on digoxin therapy.
  • Changing symptoms or conditions of heart disease where digoxin dosing needs adjustment.

Preparation

  • No specific fasting or diet modification is required.
  • Inform your healthcare provider about all medications and supplements you are taking.
  • Blood is typically drawn just before your next digoxin dose.

Procedure Description

  • A blood sample is drawn from a vein, usually from your arm.
  • The area is cleaned with antiseptic and an elastic band is applied to increase vein visibility.
  • A needle is inserted, and blood is collected into a tube.
  • The sample is sent to a laboratory for analysis.

Duration

The blood draw itself typically takes around 5-10 minutes.

Setting

The procedure is usually performed in a hospital, outpatient clinic, or laboratory.

Personnel

  • Typically carried out by a nurse, phlebotomist, or other trained healthcare professional.

Risks and Complications

  • Minor discomfort or bruising at the puncture site.
  • Rarely, infection or prolonged bleeding can occur.

Benefits

  • Helps ensure digoxin levels are within a safe and effective range.
  • Prevents potential digoxin toxicity.
  • Fine-tunes treatment for optimal management of heart conditions.

Recovery

  • No special recovery period is needed.
  • You can resume normal activities immediately after the blood draw.
  • Follow-up appointments may be scheduled to adjust your digoxin dosage based on test results.

Alternatives

  • Monitoring clinical symptoms and physical examination.
  • Other cardiac monitoring tests, though they may not provide as precise digoxin level information.

Patient Experience

  • You might feel a slight prick or sting when the needle is inserted.
  • Some patients experience mild discomfort or bruising afterward.
  • Any pain is usually minor and temporary.

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