TOX TABLES
Calcium channel blockers
IMPORTANT SHIT
Hyperglycaemia, hypotension, bradycardia, Hypokalaemia, HAGMA
Ca channel in panc blocked - no insulin released >> Hyperglycaemia
Ca channel in panc blocked - no insulin released >> Hyperglycaemia
SPECIFIC ANTIDOTE
Calcium Gluconate 10% 60 mL (rpt Q30 min)
Adrenaline/noradrenaline, Atropine (probs fail) 20 mg/kg
Pacing - Unlikely to work
HIET - 1u/kg actrapid + 50 mL 50% dextrose. Stat + 0.5-1u/hr IV insulin. Aim BSL 6-8
Heroics = ECMO, intra-aortic balloon pump or albumin dialysis ???intralipid
Endpoint - ionised calcium >2, HR >50, MAP >65
Adrenaline/noradrenaline, Atropine (probs fail) 20 mg/kg
Pacing - Unlikely to work
HIET - 1u/kg actrapid + 50 mL 50% dextrose. Stat + 0.5-1u/hr IV insulin. Aim BSL 6-8
Heroics = ECMO, intra-aortic balloon pump or albumin dialysis ???intralipid
Endpoint - ionised calcium >2, HR >50, MAP >65