地高辛
医学
急诊科
钙通道阻滞剂
毒性
β受体阻滞剂
药物过量
加药
钙通道
药理学
麻醉
作者
Wesley Palatnick,Tomislav Jelic
出处
期刊:Emergency medicine practice
日期:2014-02-01
卷期号:16 (2): 1-20
被引量:3
摘要
While it is relatively uncommon, an overdose of calcium-channel blockers, beta blockers, or digoxin has a significant morbidity and mortality rate, and its management can be complex. Digoxin toxicity can present with an acute overdose or as chronic toxicity while a patient is on therapeutic dosing, which has implications for diagnosis and management. While the patient's specific clinical presentation may depend on factors such as the time of exposure and the type of agent ingested, the differential diagnosis of the bradycardic and hypotensive patient is narrow, and toxicity from these agents must be considered. This review provides an evidence-based overview of the emergency department management of calcium-channel blocker overdose, beta blocker overdose, and digoxin toxicity.
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