ß-adrenergic receptor blocker poisoning

Autor: Dagmara Ona Reingardienė
Jazyk: angličtina
Rok vydání: 2007
Předmět:
Zdroj: Medicina
Volume 43
Issue 7
Medicina; Volume 43; Issue 7; Pages: 587
ISSN: 1010-660X
DOI: 10.3390/medicina43070075
Popis: ß-adrenergic receptor blocking drugs are used in the treatment of hypertension, angina, myocardial infarction, cardiac dysrhythmia, cardiomyopathy, migraine headache, thyrotoxicosis, and glaucoma. ß-adrenergic receptor blocking agents are competitive antagonist at ß1, ß2, or both types of adrenergic receptors. Overdoses of ß-adrenergic receptor blockers are uncommon, but are associated with significant morbidity and mortality. This review article discusses the properties of ß-adrenergic receptor blockers, presents the doses of these drugs causing toxicity and doses, after ingestion of which, referral to an emergency department is recommended. Clinical presentation of overdose (the cardiovascular, neurologic manifestations, pulmonary and other complications), diagnosis, and treatment (gastrointestinal decontamination
the usage of atropine, phosphodiesterase inhibitors, glucagon, insulin
indications for cardiac pacing, extracorporeal procedures of drug removal, etc.) are analyzed. In addition, this article focuses on clinical course and prognosis of beta-blocker overdose.
Databáze: OpenAIRE