See treatment and investigations.
Management
- • ABCDE, decontamination
- • Calcium gluconate 10% 30 mL IV over 10 min, repeat
- • High-dose insulin (HDI) with dextrose (as above)
- • Vasopressor (noradrenaline)
- • Atropine for bradycardia (often ineffective)
- • Lipid emulsion for verapamil/lipophilic
- • Methylene blue for refractory vasoplegia
- • ECMO/IABP if refractory
Related in WardRound
Calcium Channel Blocker Overdose
Protocol · Calcium + HIE + vasopressors
Adrenaline (Epinephrine)
Drug · Emergency Drugs
Noradrenaline (Norepinephrine)
Drug · Emergency Drugs
Atropine
Drug · Emergency Drugs
Calcium Gluconate 10%
Drug · Emergency Drugs
Insulin (Actrapid / Aspart)
Drug · Endocrinology
Verapamil
Drug · Cardiology
Insulin Glargine
Drug · Endocrinology
Insulin Aspart
Drug · Endocrinology
Educational — verify locally.
