Cardiotoxic Medication Poisoning.
Emerg Med Clin North Am
; 40(2): 395-416, 2022 May.
Article
en En
| MEDLINE
| ID: mdl-35461630
ABSTRACT
Beta-blockers and calcium channel blockers result in a disproportionate number of fatalities from cardiac medication overdoses, and share similar characteristics. High-dose insulin is a superior therapy for both overdoses, but is likely synergistic with vasopressors; therefore we recommend starting vasopressors and high-dose insulin simultaneously. Digoxin remains an important cardiac poison and can likely be safely treated with smaller doses of fab fragments than in the past, except for patients in extremis. Extracorporeal membrane oxygenation is an invasive but promising nonspecific therapy for refractory shock from cardiotoxic overdose and should be considered primarily in cases of refractory cardiogenic shock.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Intoxicación
/
Oxigenación por Membrana Extracorpórea
/
Sobredosis de Droga
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Año:
2022
Tipo del documento:
Article