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Case report
Sodium bicarbonate to treat massive β blocker overdose
  1. U R Shanker,
  2. J Webb,
  3. A Kotze
  1. Accident and Emergency Department, Conquest Hospital, St Leonards on Sea, UK
  1. Correspondence to:
 Mr U R Shanker, Accident and Emergency Department, Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE, UK; 
 shanker{at}centurionrise.freeserve.co.uk

https://doi.org/10.1136/emj.20.4.393

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    Sodium bicarbonate is well recognised in the treatment of tricyclic overdose. But its use in the treatment of massive β blocker (propanol) overdose has not been previously reported.

    CASE REPORT

    A 24 year old woman presented to the accident and emergency department with a history of overdose, taking 92 propanolol LA 80 mg, 45 paroxetine 30 mg, and 28 diazepam 5 mg tablets, two hours before admission. NPIS advised us to give activated charcoal every four hours and monitor vital signs closely …

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