Patients with signs of toxicity or a history of a large, ingested dose, especially if coexisting risk factors increase susceptibility to digitalis toxicity should be admitted to a monitored unit. Contacting the local poison center and medical toxicologist can facilitate difficult management and treatment decisions regarding when to administer Digibind. Any patient receiving Fab fragments requires ICU observation for at least 24 h. All suspected suicidal patients should have a psychiatric evaluation prior to discharge. Accidental exposures with no signs of toxicity after 12 h can be discharged home.
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