• Am J Emerg Med · Jul 2013

    Case Reports

    Lipid emulsion therapy in cardiodepressive syndrome after diltiazem overdose--case report.

    • Cristina Bologa, Catalina Lionte, Adorata Coman, and Laurentiu Sorodoc.
    • Internal Medicine Department, II Internal Medical Clinic, Sf. Spiridon Clinical Emergency Hospital, Gr.T.Popa University of Medicine and Pharmacy, Iasi, Romania. crisbologa@yahoo.com
    • Am J Emerg Med. 2013 Jul 1;31(7):1154.e3-4.

    AbstractWe present a case of diltiazem overdose in which the patient ingested 5.6 g in an apparent suicide attempt. She was admitted in the emergency department 2 hours postingestion with cardiodepressive syndrome. She was treated with gastric lavage, activated charcoal, intravenous fluids, calcium, and epinephrine, without improvement in vital signs. We gave her an infusion of 20% intralipid, leading to a favorable evolution. The patient was stable hemodynamically and metabolic in the following 24 hours. She was alert and oriented and was extubated in the second day. She was discharged after 4 days in a good state and without any neurologic deficits.

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