system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 52-year-old man presents to the emergency department with nausea, palpitations, and lightheadedness after consuming a drink prepared from the leaves of yellow oleander (Thevetia peruviana). He had read somewhere that such a drink is healthy. As he liked the taste, he consumed 3 glasses of the drink before the symptoms developed. He also vomited twice. There is no past medical history suggestive of any significant medical condition. On physical examination, he is disoriented. The temperature is 36.5°C (97.8°F), the pulse is 140/min and irregular, the blood pressure is 94/58 mm Hg, and the respiratory rate is 14/min. Auscultation of the heart reveals an irregularly irregular heartbeat, while auscultation of the lungs does not reveal any significant abnormalities. The abdomen is soft and the pupillary reflexes are intact. An electrocardiogram shows peaked T waves. A botanist confirms that yellow oleander leaves contain cardiac glycosides. In addition to controlling the airway, breathing, and circulation with supportive therapy, which of the following medications is indicated?
assistant
Digoxin immune Fab