MedBugs: SAQ #613

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Case: Calcium Channel Blocker Toxicity

A 45-year-old woman presents 4 hours after an intentional overdose. Her medicationsinclude slow-release verapamil 180 mg, salbutamol, and apixaban. There are 20 tablets missing from the verapamil packet. On arrival:

• GCS 13
• HR 50 bpm
• BP 75/40 mmHg
• RR 24
• SpO₂ 94% RA

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Case: Calcium Channel Blocker Toxicity

1. List 4 key components of a toxicological risk assessment. 4 marks

2. List and justify 3 investigations that guide management. 3 marks

3. Outline your management including doses and endpoints. 11 marks

SAQ Library

Case: Calcium Channel Blocker Toxicity

1. List 4 key components of a toxicological risk assessment. 4 marks

2. List and justify 3 investigations that guide management. 3 marks

3. Outline your management including doses and endpoints. 11 marks

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