A 30-year-old woman is brought to the emergency department after ingesting an unknown quantity of extended-release calcium channel blockers in a suici...

Question

A 30-year-old woman is brought to the emergency department after ingesting an unknown quantity of extended-release calcium channel blockers in a suicide attempt 1 hour ago. She is hypotensive and bradycardic. Beyond standard resuscitation, which therapy is supported in severe calcium channel blocker toxicity?

Accepted Answer

High-dose insulin-euglycaemia therapy

Answer

Activated charcoal is contraindicated

Answer

Only intravenous fluids are effective

Answer

Phenytoin loading

Answer

No specific therapy exists beyond observation

ca-mccqe1 MCQ (SBA): Calcium channel blocker overdose