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08 July 2024 : Case report  Vietnam

Effective Management of Severe Amlodipine/Atenolol Overdose with Intravenous Calcium, Hyperinsulinemic Euglycemia Therapy, and Continuous Veno-Venous Hemodialysis: A Case Report

Unusual clinical course, Challenging differential diagnosis, Management of emergency care, Adverse events of drug therapy

Cong Tan Nguyen12ACEF, Van Cuong Bui12ABC, Ngoc Son Do12AF, Thi Huong Giang Bui ORCID logo13AF, The Thach Pham12AF, Tuan Phong Hoang1ABCD, Duc Trieu Ho ORCID logo12ACDEF*

DOI: 10.12659/AJCR.943777

Am J Case Rep 2024; 25:e943777

Table 1. Characteristics of the patient on admission.

Mental statusAgitated
ECGSinus bradycardia with junctional escape beats
Temperature (degrees Celsius)36.8
Blood pressure (mmHg)75/45
Urine output (mL)0
pH7.16
PaCO (mmHg)17
HCO (mmol/l)6
PaO (mmHg)167
Lactate (mmol/l)13.4
SOFA score12
NT-Pro BNP (pg/ml)685
Troponin T (ng/ml)0.039
WBC (G/l)13.2
CVP (mmHg)20
RBC (G/L)4.35
PLT (G/L)92
Blood glucose (mmol/L)12
Creatinine (µmol/l)452
Total bilirubin (µmol/l)11.6
ECG – electrocardiogram; PaCO – arterial partial pressure of carbon dioxide; HCO – bicarbonate; SOFA – sequential organ failure assessment; WBC – white blood cells; CVP – central venous pressure; RBC – red blood cells; PLT – platelets.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923