Toxicology-Conundrum-340 256

Verapamil overdose

Verapamil overdose is potentially lethal. Test yourself on how to manage this clinical scenario, including the use of high-dose insulin euglycemic therapy.
CCC Critical Care compendium 340

High-dose Insulin Euglycaemic Therapy

High-dose Insulin Euglycaemic Therapy (HIET) is primarily used in the therapy of severe calcium channel blocker toxicity. HIET can also be used for severe beta blocker toxicity and potentially other toxicities/ presentations requiring inotropic support
CCC Critical Care compendium 340

Calcium Channel Blocker Toxicity

Severe calcium channel blocker toxicity is highly lethal, as a result of cardiovascular collapse. Good outcomes can be achieved through aggressive treatment and provision of circulatory support