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Blocantii de Calciu
•Vasodilatare periferica
–Hipotensiune
•Contractilitate cardiaca scazuta
–Hipotensiune
•Deprimarea nodurilor SA si AV
–Bradicardie
–Hiperglicemie
Blocantii canalelor de
calciu
•Tratament:
–Lavaj gastric ?
–Multiple doze de carbune activat
–Irigare intestinala integrala (pt.
preparatele cu
eliberare lenta “retard”)
–Tratament suportiv cardiovascular
Blocantii canalelor de
calciu
•Calciu clorurat (13.6
mEq/10ml)
–Necesita acces intravenos
central
1g lent iv pina la 3g
20 mg/kg c la copii pina la 60
mg’kgc
•Calciu gluconic (4 mEq/10ml)
•Administrati toate preparatele
de Ca+ incet
in mai mult de 10 min.
Blocantii canalelor de
calciu
•Reumplere lichidiana
•Atropina
•Calciu
•Glucagon
•Glucoza + Insulina
•Adrenalina
•Dopamina
•Isoproterenol
•Pacemaker (stimulare
cardiaca)
•Balon de contra-
pulsatie intra-aortica
Blocantii canalelor de
calciu
•Insulina 0,5 UI/Kg/h
•Glucoza 1g/kg/h
•Controlul glicemiei la 30 de
minute in primele 4
ore
•Raspunsul la insulina poate sa fie
intarziat 15-60
de minute
Intrebari?
Sunati la centrul de informare
 toxicologica!
0265-210110
0265-208001 – 002 - 003
Cardiotoxice
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calciu
clinica intoxicatiilor
reactii cardiotoxice
intoxicatie digitalica
intoxicatii cu
cu glicozide
(more tags)
crissza77
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