A 58-year-old man arrives as ESI 1 with wheezing, diaphoresis, and altered mental status. He took extra propranolol and verapamil. BP 68/38, HR 36,

Question

A 58-year-old man arrives as ESI 1 with wheezing, diaphoresis, and altered mental status. He took extra propranolol and verapamil. BP 68/38, HR 36, glucose is 58 mg/dL, ECG shows junctional bradycardia, and calcium has minimal effect. Which of the following is the most important immediate intervention?

Accepted Answer

Start high-dose insulin euglycemia therapy with dextrose support

Answer

Perform synchronized cardioversion without medications

Answer

Give activated charcoal and discharge after 4 hours

Answer

Give flumazenil

Answer

Administer adenosine

Beta-blocker and calcium-channel blocker overdose — ABEM Board MCQ