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Acute theophylline toxicity and the use of esmolol to reverse cardiovascular instability

✍ Scribed by Michael Seneff; James Scott; Bruce Friedman; Mark Smith


Publisher
Elsevier Science
Year
1990
Tongue
English
Weight
310 KB
Volume
19
Category
Article
ISSN
1097-6760

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✦ Synopsis


Theophylline overdoses are frequent conditions that may require emergency treatment. Clinical features common to severe theophylline toxicity include nausea and vomiting, tachydysrhythmias, metabolic disturbances, seizures, and cardiovascular collapse. Several reports have described these manifestations and their treatments. We report the case of a patient suffering from an acute, intentional theophylline overdose who exhibited the classic features of a toxic ingestion and describe the first reported use of IV esmolol in the treatment of accompanying cardiovascular manifestations.


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