Abstract:
:We present a case report of successful treatment of shock induced by the calcium channel blocker (CCB) diltiazem. A 75-year-old woman took a combination of tablets, including diltiazem. Soon after arrival, she developed haemodynamic shock which persisted despite treatment with fluids, dopamine, dobutamine, norepinephrine (noradrenaline), calcium gluconate and glucagon. Haemodynamic stability was not achieved until an insulin infusion and glucose administration was started. We review the literature and the updated guidelines for the treatment of CCB intoxication, with particular emphasis on situations where insulin and glucose infusions can be live saving.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Marques M,Gomes E,de Oliveira Jdoi
10.1016/s0300-9572(03)00026-1keywords:
subject
Has Abstractpub_date
2003-05-01 00:00:00pages
211-3issue
2eissn
0300-9572issn
1873-1570pii
S0300957203000261journal_volume
57pub_type
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