TY - JOUR PY - 1983// TI - Massive metoprolol poisoning treated with prenalterol JO - Acta medica Scandinavica A1 - Wallin, C. J. A1 - Hulting, J. SP - 253 EP - 255 VL - 214 IS - 3 N2 - A case of massive metoprolol poisoning (50 g) is described. Clinical signs included coma, seizures, hypoventilation, unmeasurable blood pressure, nodal bradycardia, and metabolic acidosis. Treatment comprised intubation, assisted ventilation, gastric lavage, atropine, bicarbonate, glucagon and repeated doses of prenalterol (a total of 160 mg over 15 hours). Prenalterol dosage was simple and could be guided by blood pressure response. Pacemaker treatment was not required. Ethanol concentration was 50 mmol/l (2.4%) on admission. Plasma metoprolol was 68 mumol/l (18 000 ng/ml) 2 hours after admission. The patient was awake after 15 hours.
Language: en
LA - en SN - 0001-6101 UR - http://dx.doi.org/ ID - ref1 ER -