A 45-year-old woman is admitted to ICU after a massive overdose of atenolol. She is bradycardic (HR 35 bpm), hypotensive (BP 65/40 mmHg), and has a GC...

Question

A 45-year-old woman is admitted to ICU after a massive overdose of atenolol. She is bradycardic (HR 35 bpm), hypotensive (BP 65/40 mmHg), and has a GCS of 10. ECG shows sinus bradycardia with first-degree heart block. She has not responded to IV atropine 3 mg. What is the most appropriate next pharmacological intervention?

Accepted Answer

IV glucagon 5-10 mg bolus followed by infusion

Answer

IV adrenaline infusion

Answer

IV isoprenaline infusion

Answer

IV calcium chloride 10 mL of 10%

Answer

IV amiodarone 300 mg

uk-fficm MCQ (SBA): Beta-Blocker Overdose