Calcium channel blocker (CCB) overdose

Shock/bradycardia require aggressive support
IV calcium is an early therapy
High-dose insulin is central in severe poisoning
Vasopressors often needed
Correct glucose/electrolytes + acidosis
Refractory cases may need lipid therapy or ECMO

Use at a glance

Shock/bradycardia require aggressive support

Escalation / refractory disease

Refractory cases may need lipid therapy or ECMO

Treatment options

IV calcium is an early therapy
Vasopressors often needed

Other treatment options

High-dose insulin is central in severe poisoning

Practical pearls

Correct glucose/electrolytes + acidosis

Self-check

What is required for Shock/bradycardia in Calcium channel blocker (CCB) overdose?
aggressive support.

Drugs used for this (3)

Calcium chloride ballicule — decagon mechanism diagram — Calcium chloride — off-label

Calcium gluconate ballicule — decagon mechanism diagram — Calcium gluconate — off-label

Regular insulin ballicule — decagon mechanism diagram — Regular insulin — off-label

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