Continuous calcium chloride infusion for massive nifedipine overdose.
A 37-year-old woman presented with persistent hypotension and noncardiogenic pulmonary edema after massive nifedipine overdose. Judicious use of continuous and prolonged high-dose IV calcium infusion was administered to provide sustained increases in serum ionic calcium level (approximately 2 mmol/L) and was able to improve the hemodynamic status without any major adverse reaction.
Lam
Y M
YM
Division of Cardiology, Department of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Tse
H F
HF
Lau
C P
CP
D000328:Adult; D002118:Calcium / Q000097:blood; D002121:Calcium Channel Blockers / Q000506:poisoning*; D002122:Calcium Chloride / Q000008:administration & dosage*; D062787:Drug Overdose; D005260:Female; D006801:Humans; D007022:Hypotension / Q000139:chemically induced / Q000188:drug therapy*; D007262:Infusions, Intravenous; D009543:Nifedipine / Q000506:poisoning*; D011654:Pulmonary Edema / Q000139:chemically induced / Q000188:drug therapy*
D002121:Calcium Channel Blockers; D009543:Nifedipine; D002122:Calcium Chloride; D002118:Calcium