3 classes of calcium channel blockers (CCBs):
Vasodilation resulting in a decrease in BP
Negative chronotropic and inotropic effects: Reflex tachycardia n...
Reflex tachycardia (dihydropyridine)
Conduction abnormalities/heart blocks
Transport pill/pill bottles to ED
Calcium for bradycardic/unstable patient with confirmed CCB overdose
Airway protection, as indicated
Admit symptomatic patients to a monitored bed for hemodynamic monitoring.
Admit all patients who ingested sustained-release CCBs for 24-hr observation and monitor...
Consider CCB toxicity in patients presenting hypotensive and bradycardic.
Consider suicidal gesture in patients presenting with CCB toxicity.
Consider HDI with dextrose and potassium...
Greene SL, Gawarammana I, Wood DM, et al. Relative safety of hyperinsulinaemia/euglycaemia therapy in the management of calcium channel blocker overdose: A prospective observatio...
T46.1X1A Poisoning by calcium-channel blockers, accidental, init
T46.1X2A Poisoning by calci...
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