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Management of a Patient With Polypharmacy Toxicity (Calcium Channel Blocker, Angiotensin Converting Enzyme Inhibitor
Sami Ur Rehman1, Faiza Zahid1, Shaheryar Nazim1
1Department of Anaesthesia, Connolly Hospital Blanchardstown, Dublin, Ireland, connollyhospital.ie.
Abstract:
We are presenting the case of a 28-year-old female patient who presented with refractory shock secondary to overdose of tricyclic antidepressants, calcium channel blockers (CCBs) and angiotensin-converting enzyme inhibitors. After initial resuscitation, bicarbonate infusion for TCA toxicity was used; and CCB toxicity was managed with high-dose insulin euglycemia therapy (HIET) with simultaneous dextrose infusion and vasopressors in the intensive care unit.
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