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Episode 90 – Low and Slow Poisoning

Emergency Medicine Cases

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Management of Calcium Channel Blocker Overdose and Digoxin Toxicity

This chapter discusses the management of a pediatric patient who has potentially overdosed on a calcium channel blocker, as well as a case of an elderly patient with digoxin toxicity. It covers the steps involved in managing a calcium channel blocker overdose, including administering IV normal saline, calcium, and considering atropine and high dose insulin. The chapter also explores the risk factors and common presentations of digoxin toxicity, as well as its effects on the heart and the dysrhythmias it can cause.

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