The Use of Glucagon and other Antidotes in a Case of Beta-Blocker and Calcium Channel Blocker Overdose

We report a case of metoprolol and nifedipine overdose complicated by hypotension which responded to intravenous boluses of calcium chloride and glucagon. The blood pressure was subsequently stabilised by continuous glucagon infusion with the aid of an insulin-dextrose drip. The discussion is focuse...

Full description

Saved in:
Bibliographic Details
Published in:Hong Kong journal of emergency medicine 2007-04, Vol.14 (2), p.113-118
Main Authors: Fung, HT, Lai, CH, Wong, OF, Lam, KK, Kam, CW
Format: Article
Language:English
Subjects:
Adrenergic beta‐antagonists
antidotes
calcium channel blockers
glucagon
overdose
Citations: Items that this one cites
Items that cite this one
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report a case of metoprolol and nifedipine overdose complicated by hypotension which responded to intravenous boluses of calcium chloride and glucagon. The blood pressure was subsequently stabilised by continuous glucagon infusion with the aid of an insulin-dextrose drip. The discussion is focused on the role of antidotes and catecholamine inotropes in the management of beta-blocker and calcium channel blocker poisoning.
ISSN:1024-9079
2309-5407
DOI:10.1177/102490790701400210