Toxicity, Beta-blocker from Emergency Medicine / Toxicology
نویسندگان
چکیده
Edited by David C Lee, MD, Research Director, Clinical Assistant Professor, Department of Surgery, Division of Emergency Medicine, North Shore University Hospital, New York University; John T VanDeVoort, PharmD, DABAT, Manager, Clinical Assistant Professor, Pharmacy Department, Regions Hospital; John Benitez, MD, MPH, Associate Professor, Departments of Emergency and Environmental Medicine, University of Rochester Medical Center; Managing Director, Associate Medical Director, Finger Lakes Regional Poison and Drug Information Center; John Halamka, MD, Chief Information Officer, CareGroup Healthcare System, Assistant Professor of Medicine, Department of Emergency Medicine, Beth Israel Deaconess Medical Center; Assistant Professor of Medicine, Harvard Medical School; and Raymond J Roberge, MD, MPH, FAAEM, Senior Toxicologist, Department of Emergency Medicine, St Francis Medical Center
منابع مشابه
Emergency department management of calcium-channel blocker, beta blocker, and digoxin toxicity.
While it is relatively uncommon, an overdose of calcium-channel blockers, beta blockers, or digoxin has a significant morbidity and mortality rate, and its management can be complex. Digoxin toxicity can present with an acute overdose or as chronic toxicity while a patient is on therapeutic dosing, which has implications for diagnosis and management. While the patient's specific clinical presen...
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Poisoning with calcium channel blockers and beta blockers are associated with high mortality and morbidity rates, especially in children. Treatment of poisoning with these drugs includes administration of atropine, glucagon, calcium and inotropic agents as clinically needed; and newer approaches like hyperinsulinemic euglycemia and intravenous lipid emulsion therapies. We herein present two ref...
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State-of-the-art therapy for beta-adrenergic receptor blocker and calcium channel antagonist toxicity is reviewed in the light of new insights into drug-induced shock. A brief discussion of pathophysiology, including cardiac, hemodynamic, and metabolic effects of cardiac drug toxicity, provides a foundation for understanding the basis of therapy. The major focus of this review is a critical eva...
متن کاملSevere Overdose of Calcium Channel Blocker and Successful Management: A Literature Review and Case Report
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Beta-blockers are associated with reduced risk of myocardial infarction after cocaine use.
STUDY OBJECTIVE Beta-blocker use is associated with coronary artery spasm after cocaine administration but also decreases mortality in patients with myocardial infarction or systolic dysfunction. We conduct a retrospective cohort study to analyze the safety of beta-blockers in patients with positive urine toxicology results for cocaine. METHODS The cohort consisted of 363 consecutive telemetr...
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