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[Verified Answer]: You arrive on scene to find a roughly 35…

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You arrive on scene to find a roughly 35 year old patient who is unresponsive and hypotensive. He has shallow respirations and the monitor shows a junctional rhythm at a rate of 35 with occasional PACs. You find an empty bottle of Verapamil and a suicide note near the patient. What are your initial concerns with this patient? While the science is not yet conclusive, glucagon, calcium chloride, and atropine are often given as first line treatments for this overdose. Why might each of them be affective, from a physiologic perspective? Glucagon Calcium Chloride Atropine Would this patient benefit more from pacing, or from a vasopressor infusion, would either one be appropriate? Why or why not?

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