Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report.

Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report. Research Abstract Details 

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Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report. Abstract Text:

Nirav P Patel,Meredith E Pugh,Steven Goldberg,Glenn Eiger,

A 49-year-old woman was brought to the emergency department because of an intentional overdose of sustained-release verapamil along with captopril and glyburide. The estimated interval between ingestion and the time she was found was several hours. Initial findings were blood pressure 72/39 mm Hg, heart rate 32/min, and a score of 9 on the Glasgow Coma Scale. She was intubated and given intravenous fluid and vasopressor support. Decontamination with activated charcoal was instituted. Administration of dopamine and norepinephrine, atropine, sodium bicarbonate, and calcium chloride did not yield significant clinical improvement. Hyperinsulinemic euglycemia therapy was started: a bolus of regular insulin then infusions of insulin and 10% dextrose. After 24 hours of therapy, the bradycardia resolved and the patient's hemodynamic condition stabilized with normalization of cardiac indices. On day 5 the patient was transferred to the medical unit, and on day 8 she was discharged to psychiatric care.

Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report. Publishing Authors By Initials

NP Patel,ME Pugh,S Goldberg,G Eiger,

For similar organic chemicals: amines: ethylamines: phenethylamines: verapamil research abstracts see: organic chemicals: amines: ethylamines: phenethylamines: verapamil research

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Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: American journal of critical care : an official pu

VOLUME: 16

Page Numbers: 520, 518-9

Journal Abbreviation: Am. J. Crit. Care

ISSN: 1062-3264

DAY: 20

MONTH: Sep

YEAR: 2007

Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report. Information

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LANGUAGE: eng

NlmUniqueID: 9211547

Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report. Keywords Mesh Terms:

KEYWORDS: Verapamil

MESH TERMS: poisoning

Chemical & Substance for Abstract: Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report. Information

Substance Name: Captopril

Registry Number: 62571-86-2

Grant and Affiliation Information for Hyperinsulinemic euglycemia therapy for verapamil poisoning: case report.

AFFILIATION: Division of Pulmonary, Allergy, and Critical Care Medicine and the Center for Sleep and Respiratory Neurobiology, Hospital of the University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104, USA. nirav.patel@uphs.upenn.edu

Country: United States

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MEDLINETA: Am J Crit Care

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