Knowledge (XXG)

Calcium channel blocker toxicity

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St-Onge, Maude; Anseeuw, Kurt; Cantrell, Frank Lee; Gilchrist, Ian C.; Hantson, Philippe; Bailey, Benoit; Lavergne, Valéry; Gosselin, Sophie; Kerns, William; Laliberté, Martin; Lavonas, Eric J.; Juurlink, David N.; Muscedere, John; Yang, Chen-Chang; Sinuff, Tasnim; Rieder, Michael; Mégarbane, Bruno
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Soar, J; Perkins, GD; Abbas, G; Alfonzo, A; Barelli, A; Bierens, JJ; Brugger, H; Deakin, CD; Dunning, J; Georgiou, M; Handley, AJ; Lockey, DJ; Paal, P; Sandroni, C; Thies, KC; Zideman, DA; Nolan, JP (October 2010). "European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac
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More than 10,000 cases of potential calcium channel blocker toxicity occurred in the United States in 2010. When death occurs in medicine overdose, heart medications are the cause more than 10% of time. The three most common types of heart medications that result in this outcome are calcium channel
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Calcium channel blockers, also known as calcium channel antagonists, are widely used for a number of health conditions. Thus they are commonly present in many people's homes. In young children one pill may cause serious health problems and potentially death. The calcium channel blocker that caused
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The medical management of CCB toxicity may be difficult. It may not improve with the usual treatments used for a low blood pressure and a slow heart rate. Those who have no symptoms or signs six hours following taking an immediate release formulation and 24 hours after taking an extended release
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Other potential symptoms include: nausea and vomiting, a decreased level of consciousness, and breathing difficulties. Symptoms usually begin within 6 hours of taking the medication by mouth. With extended release formulations symptoms may not occur for up to a day.
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arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution".
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is recommended if it can be given within an hour or two of taking the calcium channel blockers. In those who have taken an extended release formulation of a CCB but are otherwise doing fine,
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may be useful and are a first line treatment in overdoses. As this treatment may cause a drop in blood sugar and blood potassium levels, these should be monitored closely.
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the greatest number of deaths in 2010 in the United States was verapamil. This agent is believed to cause more heart problems than many of the others.
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Engebretsen, KM; Kaczmarek, KM; Morgan, J; Holger, JS (Apr 2011). "High-dose insulin therapy in beta-blocker and calcium channel-blocker poisoning".
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formula was taken. Efforts to bring about vomiting are not recommended. Medications to treat the toxic effects include: intravenous fluids,
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More than ten thousand cases of calcium channel blocker toxicity were reported in the United States in 2010. Along with
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Shepherd, G (Oct 1, 2006). "Treatment of poisoning caused by beta-adrenergic and calcium-channel blockers".
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as a result of the low blood pressure. Other symptoms may include nausea, vomiting, sleepiness, and
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may also be used for those with low blood pressure that does not respond to other treatments.
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A blood or urine test to diagnose overdose is not generally available. CCB overdose may cause
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There is tentative clinical evidence and good theoretical evidence of the benefit of
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There are a number of treatments that may be useful. These include efforts to reduce
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Most people who have taken too much of a calcium channel blocker, especially
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levels, and this is often a sign of how severe the problem will become.
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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Calcium channel blocker poisoning, calcium channel blocker overdose
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and calcium channel blocker overdose based on signs and symptoms.
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is generally non-toxic metal, but in large doses it can lead to
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Rothschild, L; Bern, S; Oswald, S; Weinberg, G (Oct 5, 2010).
189:(CCBs), either by accident or on purpose. This often causes a 633:
Rosen's emergency medicine: concepts and clinical practice
463:. Low blood pressure is treated with vasopressors such as 2900:
Poisoning by drugs, medicaments and biological substances
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formulation generally need no further medical treatment.
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taken by mouth if given shortly after the ingestion or
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It may not be possible to tell the difference between
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is the taking of too much of the medications known as
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Harwood-Nuss' clinical practice of emergency medicine
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are rare in adults but in children occur more often.
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"Cardiovascular Drugs". 172: 162: 128: 116: 104: 96: 84: 67: 55: 26: 21: 51:commonly used for calcium channel blocker toxicity 2216: 1229: 8: 626: 624: 622: 620: 618: 616: 614: 612: 610: 608: 606: 604: 602: 600: 598: 596: 808: 806: 594: 592: 590: 588: 586: 584: 582: 580: 578: 576: 2567: 2485: 2251: 2223: 2209: 2201: 2119: 1746: 1603: 1594: 1473: 1298: 1289: 1236: 1222: 1214: 1060: 840:American Journal of Health-System Pharmacy 687: 685: 654: 652: 540: 538: 536: 534: 532: 530: 528: 526: 524: 35: 18: 1196: 1034: 1024: 901: 871: 869: 522: 520: 518: 516: 514: 512: 510: 508: 506: 504: 303:as a reaction to the low blood pressure. 882:British Journal of Clinical Pharmacology 500: 352:being the most common. Others include: 487:blockers along with beta blockers and 455:. Slow heart rate can be treated with 7: 2167: 754: 752: 2179: 969:"Calcium channel blocker poisoning" 789:10.1016/j.resuscitation.2010.08.015 712:from the original on 15 August 2016 362:first-degree atrioventricular block 344:CCB toxicity can cause a number of 250:Extracorporeal membrane oxygenation 660:"Calcium channel blocker overdose" 412:by the use of medications such as 14: 670:from the original on 5 April 2014 2178: 2166: 2155: 2154: 569:from the original on 2014-05-14. 183:Calcium channel blocker toxicity 112:either by accident or on purpose 22:Calcium channel blocker toxicity 545:Palatnick, Wesley (Feb 2014). 80:, nausea, vomiting, sleepiness 1: 815:Poisoning & drug overdose 474:in severe overdoses of CCBs. 201:. Some CCBs can also cause a 1189:10.1097/CCM.0000000000002087 939:10.3109/15563650.2011.582471 287:). This can progress to the 551:Emergency Medicine Practice 197:. This can progress to the 2921: 1907:Arthropod bites and stings 1526:Nitrogen dioxide poisoning 992:Haberfeld, H, ed. (2015). 759:Haberfeld, H, ed. (2015). 692:Wolfson, Allan B. (2010). 2850: 2808:Prednisolone/promethazine 2789:Methylthioninium chloride 2150: 2122: 2118: 1666:Tricyclic antidepressants 1265: 731:Mutschler, Ernst (2013). 451:is considered a specific 348:abnormalities with a low 289:heart stopping altogether 199:heart stopping altogether 43: 34: 2905:Calcium channel blockers 187:calcium channel blockers 110:calcium channel blockers 2105:List of types of poison 1661:Serotonergic substances 1026:10.1186/1757-7241-18-51 557:(2): 1–19, quiz 19-20. 408:may be useful. Causing 252:may also be an option. 216:of the drug including: 2801:Potassium permanganate 2457:neuromuscular blockade 1393:Other non-toxic metals 1177:Critical Care Medicine 402:whole bowel irrigation 299:, predominantly cause 222:whole bowel irrigation 139:, intravenous fluids, 137:whole bowel irrigation 118:Differential diagnosis 2603:4-Dimethylaminophenol 1773:Ichthyoallyeinotoxism 733:Arzneimittelwirkungen 378:beta blocker toxicity 123:Beta blocker toxicity 2691:Paracetamol toxicity 2535:direct Xa inhibitors 2256:Alcohol intoxication 416:is not recommended. 2143:foodborne illnesses 2100:Lists of poisonings 1783:Shellfish poisoning 1491:Aluminium phosphide 927:Clinical Toxicology 406:polyethylene glycol 358:bundle branch block 207:shortness of breath 2877:Never to phase III 2674:Primary alcohols: 2632:Sodium thiosulfate 2516:Digoxin immune fab 2095:EPA list of hazard 1877:Alpha-Bungarotoxin 1621:Anticholinesterase 1131:External resources 852:10.2146/ajhp060041 398:Activated charcoal 301:reflex tachycardia 295:group, as well as 285:vasodilatory shock 281:low blood pressure 267:Signs and symptoms 218:activated charcoal 195:low blood pressure 168:High risk of death 133:Activated charcoal 78:low blood pressure 62:Emergency medicine 2887: 2886: 2816: 2815: 2650:Calcium gluconate 2642:Hydrofluoric acid 2595:Cyanide poisoning 2572:Arsenic poisoning 2559: 2558: 2473: 2472: 2198: 2197: 2194: 2193: 2078: 2077: 2060:Poisonous animals 1738: 1737: 1703:Vitamin poisoning 1697: 1696: 1584: 1583: 1463: 1462: 1408: 1407: 1165: 1164: 894:10.1111/bcp.12763 742:978-3-8047-2898-1 445:calcium gluconate 366:sinus tachycardia 346:electrocardiogram 340:Electrocardiogram 230:calcium gluconate 180: 179: 141:calcium gluconate 16:Medical condition 2912: 2782:Potassium iodide 2608:Hydroxocobalamin 2568: 2508:Digoxin toxicity 2486: 2252: 2225: 2218: 2211: 2202: 2182: 2181: 2170: 2169: 2158: 2157: 2131:, which is rare. 2120: 2055:Venomous animals 1747: 1604: 1595: 1496:Organophosphates 1474: 1351:Dietary minerals 1299: 1290: 1238: 1231: 1224: 1215: 1210: 1200: 1183:(3): e306–e315. 1171:(October 2016). 1061: 1049: 1048: 1038: 1028: 1004: 998: 997: 989: 983: 982: 980: 979: 965: 959: 958: 922: 916: 915: 905: 873: 864: 863: 835: 829: 828: 810: 801: 800: 771: 765: 764: 756: 747: 746: 728: 722: 721: 719: 717: 689: 680: 679: 677: 675: 656: 647: 646: 628: 571: 570: 542: 461:sympathomimetics 449:calcium chloride 334:high blood sugar 315:may also occur. 226:extended release 176:> 10,000 (US) 39: 19: 2920: 2919: 2915: 2914: 2913: 2911: 2910: 2909: 2890: 2889: 2888: 2883: 2882: 2867:Clinical trials 2846: 2840:Syrup of ipecac 2812: 2795:oxidizing agent 2763: 2715: 2694:(Acetaminophen) 2693: 2685: 2666: 2665:Ethylene glycol 2663: 2654: 2636: 2589: 2555: 2520: 2502: 2480: 2469: 2455: 2449: 2412:Opioid overdose 2406: 2358: 2357:Organophosphate 2355: 2346: 2323: 2305: 2298: 2280: 2273: 2246: 2239: 2229: 2199: 2190: 2146: 2132: 2114: 2074: 2022: 1970: 1893: 1809: 1734: 1729: 1693: 1670: 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393:Detoxification 391: 385: 382: 373: 370: 341: 338: 329: 326: 320: 317: 291:. CCBs of the 268: 265: 246:lipid emulsion 178: 177: 174: 170: 169: 166: 160: 159: 157:lipid emulsion 130: 126: 125: 120: 114: 113: 106: 102: 101: 100:Within 6 hours 98: 94: 93: 91:Cardiac arrest 88: 82: 81: 71: 65: 64: 59: 53: 52: 41: 40: 32: 31: 28: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 2917: 2906: 2903: 2901: 2898: 2897: 2895: 2876: 2874: 2871: 2870: 2868: 2865: 2862: 2859: 2857: 2854: 2853: 2849: 2841: 2838: 2837: 2836: 2833: 2831: 2828: 2827: 2825: 2823: 2819: 2809: 2806: 2802: 2799: 2798: 2797: 2796: 2792: 2790: 2787: 2783: 2780: 2779: 2778: 2777: 2773: 2772: 2770: 2766: 2761: 2760:Prussian blue 2758: 2756: 2753: 2751: 2748: 2746: 2741: 2738: 2736: 2733: 2731: 2728: 2727: 2726: 2722: 2718: 2712: 2709: 2707: 2704: 2702: 2699: 2698: 2696: 2692: 2688: 2682: 2679: 2677: 2673: 2672: 2670: 2668: 2661: 2657: 2651: 2648: 2647: 2645: 2643: 2639: 2633: 2630: 2626: 2623: 2621: 2618: 2617: 2616: 2615: 2611: 2609: 2606: 2604: 2601: 2600: 2598: 2596: 2592: 2586: 2583: 2581: 2578: 2577: 2575: 2573: 2569: 2566: 2562: 2551: 2547: 2543: 2540: 2536: 2532: 2531: 2529: 2527: 2523: 2517: 2514: 2513: 2511: 2509: 2505: 2499: 2496: 2495: 2493: 2491: 2487: 2484: 2482: 2476: 2466: 2463: 2462: 2460: 2458: 2452: 2446: 2443: 2441: 2438: 2436: 2433: 2431: 2428: 2426: 2423: 2421: 2420:Diprenorphine 2418: 2417: 2415: 2413: 2409: 2403: 2400: 2397: 2393: 2390: 2388: 2385: 2384: 2383: 2380: 2378: 2375: 2373: 2370: 2368: 2365: 2364: 2362: 2360: 2353: 2349: 2343: 2340: 2338: 2337:Physostigmine 2335: 2334: 2332: 2330: 2326: 2320: 2317: 2315: 2312: 2311: 2309: 2307: 2301: 2295: 2292: 2290: 2287: 2286: 2284: 2282: 2276: 2270: 2267: 2265: 2262: 2261: 2259: 2257: 2253: 2250: 2248: 2242: 2237: 2233: 2226: 2221: 2219: 2214: 2212: 2207: 2206: 2203: 2187: 2186: 2177: 2175: 2174: 2165: 2163: 2162: 2153: 2152: 2149: 2144: 2140: 2136: 2130: 2126: 2121: 2117: 2111: 2108: 2106: 2103: 2101: 2098: 2096: 2093: 2091: 2088: 2087: 2085: 2083:Miscellaneous 2081: 2071: 2068: 2066: 2065:Deadly fungus 2063: 2061: 2058: 2056: 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1619: 1617: 1614: 1613: 1611: 1609: 1605: 1602: 1600: 1596: 1593: 1591: 1587: 1577: 1574: 1572: 1569: 1567: 1564: 1560: 1557: 1555: 1552: 1550: 1547: 1546: 1545: 1544: 1540: 1539: 1537: 1533: 1527: 1524: 1522: 1519: 1517: 1514: 1513: 1511: 1509: 1505: 1497: 1494: 1492: 1489: 1488: 1487: 1484: 1483: 1481: 1479: 1475: 1472: 1470: 1466: 1456: 1453: 1451: 1448: 1446: 1443: 1441: 1440:Sulfuric acid 1438: 1437: 1435: 1433: 1429: 1423: 1420: 1419: 1417: 1415: 1411: 1401: 1398: 1397: 1395: 1391: 1385: 1382: 1380: 1377: 1375: 1372: 1370: 1367: 1365: 1362: 1360: 1357: 1356: 1354: 1352: 1348: 1342: 1339: 1337: 1334: 1332: 1329: 1327: 1324: 1322: 1319: 1317: 1314: 1312: 1309: 1308: 1306: 1304: 1300: 1297: 1295: 1291: 1288: 1286: 1282: 1276: 1273: 1271: 1268: 1267: 1264: 1258: 1255: 1253: 1250: 1248: 1245: 1244: 1239: 1234: 1232: 1227: 1225: 1220: 1219: 1216: 1208: 1204: 1199: 1194: 1190: 1186: 1182: 1178: 1174: 1168: 1167: 1157: 1153: 1152: 1148: 1146: 1142: 1141: 1137: 1136: 1133: 1129: 1122: 1118: 1117: 1113: 1111: 1107: 1106: 1102: 1100: 1096: 1095: 1091: 1087: 1084: 1083: 1079: 1075: 1074: 1071: 1066: 1062: 1055: 1046: 1042: 1037: 1032: 1027: 1022: 1018: 1014: 1010: 1003: 1000: 995: 994:Austria-Codex 988: 985: 974: 970: 964: 961: 956: 952: 948: 944: 940: 936: 933:(4): 277–83. 932: 928: 921: 918: 913: 909: 904: 899: 895: 891: 888:(3): 453–61. 887: 883: 879: 872: 870: 866: 861: 857: 853: 849: 845: 841: 834: 831: 826: 820: 816: 809: 807: 803: 798: 794: 790: 786: 782: 778: 777:Resuscitation 770: 767: 762: 761:Austria-Codex 755: 753: 749: 744: 738: 734: 727: 724: 711: 707: 705:9780781789431 701: 697: 696: 688: 686: 682: 669: 665: 661: 655: 653: 649: 644: 638: 634: 627: 625: 623: 621: 619: 617: 615: 613: 611: 609: 607: 605: 603: 601: 599: 597: 595: 593: 591: 589: 587: 585: 583: 581: 579: 577: 573: 568: 564: 560: 556: 552: 548: 541: 539: 537: 535: 533: 531: 529: 527: 525: 523: 521: 519: 517: 515: 513: 511: 509: 507: 505: 501: 494: 492: 490: 481: 479: 477: 473: 468: 466: 462: 458: 454: 450: 446: 438: 436: 434: 430: 427: 419: 417: 415: 411: 407: 403: 399: 392: 390: 383: 381: 379: 371: 369: 367: 363: 359: 355: 351: 347: 339: 337: 335: 327: 325: 318: 316: 314: 313:Hypocalcaemia 310: 304: 302: 298: 294: 290: 286: 282: 278: 274: 266: 264: 262: 258: 257:beta blockers 253: 251: 247: 243: 239: 235: 231: 227: 223: 219: 215: 210: 208: 204: 200: 196: 192: 188: 184: 175: 171: 167: 165: 161: 158: 154: 150: 146: 142: 138: 134: 131: 127: 124: 121: 119: 115: 111: 107: 103: 99: 95: 92: 89: 87: 86:Complications 83: 79: 75: 72: 70: 66: 63: 60: 58: 54: 50: 47: 42: 38: 33: 29: 25: 20: 2793: 2774: 2721:Toxic metals 2620:Amyl nitrite 2612: 2490:Beta blocker 2398: 2329:GHB overdose 2183: 2171: 2159: 1954:Latrodectism 1945:spider venom 1768:Haff disease 1689:Dipyridamole 1631:Barbiturates 1541: 1303:Toxic metals 1180: 1176: 1149: 1138: 1114: 1103: 1088: 1076: 1016: 1012: 1002: 993: 987: 976:. Retrieved 972: 963: 930: 926: 920: 885: 881: 843: 839: 833: 814: 780: 776: 769: 760: 732: 726: 714:. Retrieved 694: 672:. Retrieved 663: 632: 554: 550: 485: 482:Epidemiology 469: 443:Intravenous 442: 423: 396: 387: 375: 372:Differential 350:sinus rhythm 343: 331: 322: 305: 270: 254: 242:vasopressors 236:, high dose 211: 182: 181: 153:vasopressors 147:, high dose 2863:from market 2835:Ipecacuanha 2750:Dimercaprol 2706:Glutathione 2580:Dimercaprol 2479:Circulatory 2454:Reversal of 2392:Pralidoxime 2352:Nerve agent 2314:Cyprodenate 2279:Barbiturate 2185:WikiProject 1998:Fish toxins 1959:Loxoscelism 1872:Snake venom 1844:Physalaemin 1816:vertebrates 1656:Paracetamol 1140:MedlinePlus 426:intravenous 364:, and even 297:flunarizine 97:Usual onset 27:Other names 2894:Categories 2776:iodine-131 2711:Methionine 2681:Fomepizole 2465:Sugammadex 2445:Naltrexone 2435:Nalorphine 2319:Flumazenil 2264:Metadoxine 2133:including 2090:Antibiotic 2018:Strychnine 1988:Cinchonism 1950:Latrotoxin 1899:Arthropods 1887:Batroxobin 1798:Neurotoxic 1793:Diarrhetic 1743:Biological 1486:Pesticides 1478:Phosphorus 1414:Metalloids 1116:DiseasesDB 1085:: T46.1X1A 978:2019-07-09 495:References 465:adrenaline 384:Management 214:absorption 2873:Phase III 2861:Withdrawn 2667:poisoning 2550:Protamine 2430:Nalmefene 2399:see also: 2387:Obidoxime 2372:Biperiden 2359:poisoning 2342:SCH-50911 2294:Ethamivan 2289:Bemegride 2232:Antidotes 2110:Pollution 2050:Cnidocyte 2003:Lathyrism 1916:Bee venom 1912:Bee sting 1856:Coturnism 1839:Bufotenin 1824:Amphibian 1803:Paralytic 1778:Scombroid 1763:Ciguatera 1721:Vitamin E 1716:Vitamin D 1711:Vitamin A 1432:Nonmetals 1379:Manganese 1311:Beryllium 1285:Inorganic 1247:Poisoning 1151:eMedicine 328:Diagnosis 273:diltiazem 173:Frequency 164:Prognosis 129:Treatment 108:Too much 57:Specialty 2755:Edetates 2740:thallium 2660:Methanol 2585:Succimer 2544:against 2533:against 2498:Glucagon 2440:Naloxone 2425:Doxapram 2377:Diazepam 2367:Atropine 2306:overdose 2281:overdose 2269:Thiamine 2161:Category 2013:Mushroom 1993:Ergotism 1978: / 1952: / 1926:Melittin 1914: / 1870: / 1834:Bombesin 1753: / 1730:syndrome 1559:Methanol 1521:Nicotine 1508:Nitrogen 1455:Fluoride 1450:Chlorine 1445:Selenium 1359:Chromium 1336:Thallium 1257:Overdose 1252:Toxicity 1207:27749343 1045:20923546 973:UpToDate 955:32138463 947:21563902 912:26344579 860:16990629 797:20956045 710:Archived 668:Archived 567:Archived 563:24883458 457:atropine 453:antidote 410:vomiting 309:Seizures 234:glucagon 145:glucagon 69:Symptoms 49:emulsion 2735:mercury 2725:cadmium 2676:Ethanol 2614:nitrite 2546:heparin 2245:Nervous 2173:Commons 2129:argyria 2038:Stinger 2008:Locoism 1788:Amnesic 1755:Seafood 1684:Digoxin 1651:Opioids 1646:Lithium 1641:Cocaine 1626:Aspirin 1616:Alcohol 1608:Nervous 1576:Toluene 1549:Ethanol 1543:alcohol 1516:Cyanide 1469:Organic 1422:Arsenic 1326:Mercury 1316:Cadmium 1275:History 1198:5312725 1110:D062787 1036:2958894 903:4767195 716:28 July 489:digoxin 433:glucose 429:insulin 420:Insulin 261:digoxin 238:insulin 149:insulin 2856:WHO-EM 2822:Emetic 2481:system 2382:Oximes 2247:system 2139:toxins 2135:venoms 2125:Silver 1976:Plants 1921:Apamin 1882:Ancrod 1868:Snakes 1863:Mammal 1814:Other 1571:Oxygen 1400:Silver 1369:Copper 1364:Cobalt 1331:Nickel 1294:Metals 1270:Poison 1205:  1195:  1145:002580 1043:  1033:  1019:: 51. 953:  945:  910:  900:  858:  821:  795:  739:  702:  639:  561:  414:ipecac 275:, get 224:if an 105:Causes 44:A 20% 2768:Other 2564:Other 2236:V03AB 2043:plant 1980:Fungi 1851:Birds 951:S2CID 674:9 May 439:Other 431:with 404:with 319:Cause 46:lipid 2730:lead 2036:and 2034:Bite 1751:Fish 1384:Zinc 1374:Iron 1321:Lead 1203:PMID 1121:3971 1105:MeSH 1094:9-CM 1041:PMID 943:PMID 908:PMID 856:PMID 819:ISBN 793:PMID 737:ISBN 718:2016 700:ISBN 676:2014 664:ADAM 637:ISBN 559:PMID 459:and 279:and 259:and 244:and 193:and 1535:CHO 1341:Tin 1193:PMC 1185:doi 1099:972 1090:ICD 1078:ICD 1031:PMC 1021:doi 935:doi 898:PMC 890:doi 848:doi 785:doi 447:or 2896:: 2869:: 2141:, 2137:, 1201:. 1191:. 1181:45 1179:. 1175:. 1154:: 1143:: 1119:: 1108:: 1097:: 1082:10 1039:. 1029:. 1017:18 1015:. 1011:. 971:. 949:. 941:. 931:49 929:. 906:. 896:. 886:81 884:. 880:. 868:^ 854:. 844:63 842:. 805:^ 791:. 781:81 779:. 751:^ 708:. 684:^ 662:. 651:^ 575:^ 565:. 555:16 553:. 549:. 503:^ 491:. 467:. 368:. 360:, 356:, 248:. 240:, 232:, 155:, 151:, 143:, 135:, 76:, 2742:) 2723:( 2662:/ 2552:) 2548:( 2541:) 2537:( 2354:/ 2238:) 2234:( 2224:e 2217:t 2210:v 2145:. 1728:6 1237:e 1230:t 1223:v 1209:. 1187:: 1092:- 1080:- 1070:D 1047:. 1023:: 981:. 957:. 937:: 914:. 892:: 862:. 850:: 827:. 799:. 787:: 745:. 720:. 678:. 645:. 283:(

Index


lipid
emulsion
Specialty
Emergency medicine
Symptoms
Slow heart rate
low blood pressure
Complications
Cardiac arrest
calcium channel blockers
Differential diagnosis
Beta blocker toxicity
Activated charcoal
whole bowel irrigation
calcium gluconate
glucagon
insulin
vasopressors
lipid emulsion
Prognosis
calcium channel blockers
slow heart rate
low blood pressure
heart stopping altogether
fast heart rate
shortness of breath
absorption
activated charcoal
whole bowel irrigation

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