Beta-Blocker/Calcium Channel Blocker Overdose

2yo M presents with lethargy from grandmothers house after being found playing with an open pill box. Found to be extremely lethargic, bradycardic and hypotensive.

Beta-Blocker/Calcium Channel Blocker Overdose Case Outline PDF

Beta-Blocker/Calcium Channel Blocker Overdose Teaching Debrief Powerpoint

Critical Actions:

1. Rapid recognition of unstable vital signs

2. Antidotal therapy including:

   1. Atropine

   2. Vasopressor support

   3. Fluid resuscitation

   4. Glucagon

   5. High dose insulin/glucose therapy

   6. Intralipid

3. Transcutaneous pacing

4. Starting CPR if patient becomes hemodynamically critically unstable