Successful treatment of severe calcium channel blocker poisoning, new experience with the guidance of invasive hemodynamic monitoring in a 17-year-old girl: a case report.
J Med Case Rep
; 18(1): 68, 2024 Feb 03.
Article
in En
| MEDLINE
| ID: mdl-38308385
ABSTRACT
BACKGROUND:
Calcium channel blocker poisoning is one of the most lethal cardiac drugs overdoses. Calcium and high-dose insulin infusion are the first-line therapy for symptomatic patients, and Intralipid emulsion infusion is useful for refractory cases. CASE PRESENTATION In this report, we describe a 17-year-old Iranian girl who took 250 mg of the drug for a suicidal attempt and presented with refractory hypotension and non-cardiogenic pulmonary edema treated successfully with the guidance of invasive hemodynamic parameters.CONCLUSION:
For complicated cases, in addition to supportive care and adjuvant therapy such as high-dose insulin and Intralipid, it is mandatory to utilize advanced hemodynamic monitoring to treat hypotension in severe calcium channel blocker poisoning to guide the treatment.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Drug Overdose
/
Hemodynamic Monitoring
/
Hyperinsulinism
/
Hypotension
Type of study:
Guideline
Country/Region as subject:
Asia
Language:
En
Journal:
J Med Case Rep
Year:
2024
Type:
Article
Affiliation country:
Iran