Massive calcium channel blocker overdose: intravenous insulin and glucose as a therapy
- Correspondence to Dr Simon William Dubrey,
We describe a case of massive overdosage with cardiac medications that proved resistant to conventional support, including fluid replacement, inotropes, mechanical ventilation, cardiac pacing and haemofiltration. The use of a high-dose insulin and glucose infusion proved to be beneficial in the acute management although the patient has been left with significant impairment of cardiac function.
Competing interests None.
Patient consent Obtained.