Citation

Rombach SM, Wesselink EJ, De Stoppelaar EI, Rijnsburger ER, Slagt C. Netherlands Journal of Critical Care 2016; 24(1): 25-27.

Copyright

(Copyright © 2016)

DOI

unavailable

PMID

unavailable

Abstract

A 38-year old man presented with hemodynamic instability after a nortriptyline intoxication. He was intubated and treated with fluids, sodium bicarbonate 8.4%, activated charcoal, sodiumsulfate, intravenous lipid emulsion, norepinephrine and magnesium sulfate intravenously. Only after the addition of glucagon 10 mg intravenously, his hemodynamic condition improved. Glucagon should be considered early in severe tricyclic antidepressant overdose. © 2016, Netherlands Society of Intensive Care. All rights reserved.

Language: en

Keywords

adult; Intoxication; human; male; case report; suicide attempt; drug overdose; drug intoxication; nortriptyline; tachycardia; somnolence; noradrenalin; pH; activated carbon; tonic clonic seizure; drug blood level; hemodynamics; hypotension; zolpidem; amnesia; alanine aminotransferase; aspartate aminotransferase; liver toxicity; clonazepam; bicarbonate; magnesium sulfate; electrocardiography; induced hypothermia; glucagon; propofol; Nortriptyline; drug dose reduction; Article; hyperthermia; intubation; heart ventricle arrhythmia; continuous infusion; fluid resuscitation; Glucagon; lipid emulsion; sodium sulfate; Hemodynamic instability; obstructive airway disease