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BMJ Case Reports 2012; doi:10.1136/bcr.03.2012.6114
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

Massive calcium channel blocker overdose: intravenous insulin and glucose as a therapy

  1. Simon William Dubrey
  1. Department of Cardiology, Hillingdon Hospital, Uxbridge, Middlesex, UK
  1. Correspondence to Dr Simon William Dubrey, simon.dubrey{at}thh.nhs.uk

Summary

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.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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