Early use of high-dose insulin euglycaemic therapy for verapamil toxicity

Nickson, Christopher P., and Little, Mark (2009) Early use of high-dose insulin euglycaemic therapy for verapamil toxicity. Medical Journal of Australia, 191 (6). pp. 350-352.

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A 49-year-old man presented with verapamil toxicity complicated by hypotension and a junctional rhythm, in the context of deliberate self-poisoning with multiple drugs. The patient's hypotension normalised following the early use of high-dose insulin euglycaemic therapy (HIET), without the need for additional vasopressors; it recurred when HIET was prematurely stopped, and again stabilised when HIET was recommenced. Consideration should be given to the early use of HIET in treating severe calcium channel blocker toxicity, rather than as a last resort after other therapies have failed.

Item ID: 38641
Item Type: Article (Case Study)
ISSN: 1326-5377
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Date Deposited: 09 Sep 2016 05:34
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1115 Pharmacology and Pharmaceutical Sciences > 111506 Toxicology (incl Clinical Toxicology) @ 100%
SEO Codes: 92 HEALTH > 9299 Other Health > 929999 Health not elsewhere classified @ 100%
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