beta blockers

1. CASE PRESENTATION
MODERATOR-DR.SASIDHAR
SPEAKER – DR.GANGA BHAVANI

2. • A 35 year lady presented with alleged h/o consumption of Amlokind AT (Amlodipine 2.5mg
+ Atenolol 25mg) 4 tablets (total dose being amlodipine – 10mg and atenolol – 200mg ) on
13/3/23 at 9.30am
• Giddiness and chest pain since then.
CHIEF COMPLAINT

3. • Patient has come with alleged h/o consumption of Amlokind AT (Amlodipine 2.5mg +
Atenolol 25mg) 4 tablets on 13/3/23 at 9.30am
• Giddiness and chest pain since then
• Duration between incident and hospital admission – 1 and half hour
• No history of vomitings/seizures
• No h/o LOC
• No h/o coingestions
• No comorbidities
• No h/o psychiatric illness
• No h/o drug abuse
• No h/o prior hospital admissions.
History of present illness

4. ON EXAMINATION- DAY1 IN ICU
 AIRWAY – Patent
 BREATHING – Spontaneously at room air
CIRCULATION – Warm peripheries
Screening echo – Normal LV function. No RA/RV dilatation.

5.  GENERAL EXAMINATION – No pallor,icterus,clubbing,cyanosis,lymphadenopathy,edema
HR-37/min , BP- 110/50mmhg,
 CARDIOVASCULAR SYSTEM - S1S2 heard, No murmurs heard
 Neurological system – GCS- E3VTM6
Pupils- B/L 2mm, Reacting to light
Power – 5/5 in all limbs
 RESPIRATORY SYSTEM – BAE heard. No abnormal sounds heard.
 ABDOMINAL – Soft
No organomegaly
BS – present

6. DAY 1
• Gastric lavage
• Activated charcoal
• Mobitz type II block
• 1 dose of atropine
• Glucagon
• Calcium gluconate
• Isoprenaline infusion

7. THANK YOU