A 55-year-old man on ICU has refractory hypotension from an overdose of amlodipine. He has received IV calcium, IV glucagon, IV high-dose insulin eugl...

Question

A 55-year-old man on ICU has refractory hypotension from an overdose of amlodipine. He has received IV calcium, IV glucagon, IV high-dose insulin euglycaemic therapy, and IV fluid resuscitation. MAP remains 45 mmHg despite noradrenaline 1.0 mcg/kg/min. What rescue therapy should be considered?

Accepted Answer

IV lipid emulsion 20% (Intralipid)

Answer

IV methylene blue

Answer

IV dantrolene

Answer

IV naloxone

Answer

IV activated charcoal

uk-fficm MCQ (SBA): Refractory CCB Overdose

A 55-year-old man on ICU has refractory hypotension from an overdose of amlodipine. He has received IV calcium, IV glucagon, IV high-dose insulin euglycaemic therapy, and IV fluid resuscitation. MAP remains 45 mmHg despite noradrenaline 1.0 mcg/kg/min. What rescue therapy should be considered?