A 40-year-old man presents to the emergency department 1 hour after ingesting an unknown quantity of extended-release calcium channel blocker tablets ...

Question

A 40-year-old man presents to the emergency department 1 hour after ingesting an unknown quantity of extended-release calcium channel blocker tablets in a suicide attempt. He is hypotensive and bradycardic. According to Canadian toxicology guidelines, which therapy is a key component of initial management in addition to standard resuscitation?

Accepted Answer

High-dose insulin euglycaemia therapy

Answer

Flumazenil

Answer

Urinary alkalinisation

Answer

Activated charcoal is contraindicated

Answer

No gastrointestinal decontamination in any case

ca-rcpsc-em MCQ (SBA): Calcium channel blocker overdose