SAQ 1339 – Sustained-release verapamil ingestion with bradycardia and hypotension

A 32-year-old woman presents 6 hours after ingesting 20 x 240 mg sustained-release verapamil tablets. She is vomiting and listless, with GCS 14, heart rate 40/min and blood pressure 75/40 mmHg.

What is your risk assessment?

(Marked out of 1.0)

/ 1

Describe the pathotoxicological mechanisms of verapamil.

(Marked out of 2.0)

/ 2

Her BSL is 12 mmol/L. What is the significance of this?

(Marked out of 1.0)

/ 1

She deteriorates with a poorly palpable pulse, GCS 9/15 and junctional rhythm at 30/min. Outline your management steps, including medication doses.

(Marked out of 6.0)

/ 6

Total Score: 0 / 10

Percentage: 0%