Immediately contact emergency medical services. Administer supportive care, focusing on maintaining airway, breathing, and circulation (ABCs). Intravenous fluids may be necessary to manage hypotension.
Cardiovascular Monitoring and Support
Closely monitor the patient’s heart rate, blood pressure, and rhythm continuously using an ECG. Bradycardia and hypotension are key indicators of overdose. Atropine sulfate can counteract bradycardia, titrated to effect. If hypotension persists despite fluid resuscitation, consider administering vasopressors such as dopamine or norepinephrine.
Additional Interventions
Activated charcoal is generally not effective in treating Cardizem overdose due to its rapid distribution. Continuous ECG monitoring is critical for identifying and managing arrhythmias. Calcium gluconate can be administered to counteract the calcium channel blocking effects of Cardizem, but its use should be guided by a physician.
Specific Considerations
Note: Management depends on the severity of the overdose and the patient’s clinical presentation. Close collaboration with a medical toxicologist or a cardiologist is recommended for optimal patient care. Document all interventions and vital signs meticulously.
Long-Term Outlook
Prognosis varies depending on the severity of the overdose and the timeliness of intervention. Recovery can be complete with prompt and appropriate management, but long-term effects are possible in severe cases. Regular follow-up appointments are crucial for monitoring any potential complications.
