Friday December 18, 1998 - Question 14

The poison center is called by paramedics regarding pre-hospital management of a 55-year-old male found comatose at home with an empty bottle of propranolol 80 mg at his bedside. Please discuss vital sign changes that would be expected.  Please list at least two rhythm changes that may be observed on the cardiac monitor.  Also, discuss the role of activated charcoal and glucagon in the management of this patient.