SCCM Resource Library-Add Salt, Hold the Sugar! High-Dose Insulin and Sodium Solutions for Management of a Cardiotoxic Overdose

Add Salt, Hold the Sugar! High-Dose Insulin and Sodium Solutions for Management of a Cardiotoxic Overdose

Video Transcription

Video Summary

The speaker begins by introducing themselves and their background in toxicology. They then proceed to discuss a case study of a patient with a calcium channel blocker and beta blocker overdose. The treatment options for these overdoses, including high-dose insulin therapy, sodium bicarbonate, glucagon, and lipid emulsion, are described. The mechanisms of toxicity for calcium channel blockers and beta blockers are also explained. The speaker highlights the importance of GI tract decontamination and the challenges they faced in implementing the high-dose insulin therapy protocol. They discuss the use of vasopressors and the potential benefits of combining them with insulin therapy. The speaker also touches upon hyperglycemia and the use of glucagon in these overdoses. Finally, they mention the use of sodium bicarbonate in sodium channel blocker overdoses and the importance of consulting with poison control centers for guidance in managing these cases.

Asset Subtitle

Pharmacology, Cardiovascular, 2023

Asset Caption

Type: one-hour concurrent | Kickstart My Heart: Treating Cardiotoxicity in Medication Overdoses (SessionID 1174999)

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Cardiovascular

Membership Level Professional

Membership Level Select

Tag Toxicology

Tag Alcohol and Substance Abuse

Year 2023

Keywords

toxicology

case study

insulin therapy

sodium bicarbonate

poison control centers

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