TY  - JOUR
PY  - 2022//
TI  - Hyperinsulinemic Euglycemia Therapy for Acute Nitroglycerin Poisoning: Case Report
JO  - International journal of medical toxicology and forensic medicine
A1  - Farahani, M.V.
A1  - Soltani, S.
A1  - Marashi, S.M.
SP  - 
EP  - 
VL  - 12
IS  - 2
N2  - Nitroglycerin, a vasodilator, is commonly administered to treat ischemic heart disease. Adverse effects after toxicity are light-headedness, nausea, blurry vision, and syncope due to low systolic blood pressure as well as methemoglobinemia. A 19-year-old female was admitted to our toxicology department after suicidal ingestion of 320 mg extended-release nitroglycerin about 45 minutes before the admission. She was conscious, and her initial blood pressure was 98/65 mm Hg, which was decreased to 77 mmHg within 1.5 hours despite administration of 1 liter of normal saline. Due to severe hypotension, norepinephrine infusion was started for systolic blood pressure maintenance above 80mm Hg; however, she started complaining of palpitation and chest pain. So, the dose of norepinephrine was reduced, and glucose, insulin, and potassium protocol were started. After 3 hours of therapy, her hemodynamic condition stabilized with systolic blood pressure above 90mm Hg; hence norepinephrine was discontinued. She was discharged on the 3rd day after the psychiatric consultation, with regular clinical and paraclinical examinations. © 2022 Shahid Beheshti University of Medical Sciences. All rights reserved.<p /> <p>Language: en</p>
LA  - en
SN  - 2251-8762
UR  - http://dx.doi.org/10.32598/ijmtfm.v12i2.37176
ID  - ref1
ER  -