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Calcium-channel blocker toxicity: read the glucose with the shock

Educational use only. Not clinically reviewed

56-year-old man for calm perfusion, conduction, metabolic-risk, rescue-boundary, reassessment, and handoff practice. About 6 simulated minutes.

What you will practise

  • Reconcile product, formulation, clock, perfusion, rhythm, glucose, and the whole patient.
  • Recognize the calcium-channel-blocker mixed-shock pattern without glucose- or pulse-only closure.
  • Activate toxicology, resuscitation, cardiac, metabolic, airway, and safety ownership.
  • Review supplied ECG, perfusion, contractility, glucose, electrolyte, prior-care, and rescue evidence.
  • Record bounded qualified rescue intent, then review a strict later report.
  • Hand off recurrent shock, AV block, hyperglycemia, electrolyte, volume, rescue, and active risk.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • American Heart Association. Part 10: Adult and Pediatric Special Circumstances of Resuscitation. Section 21.5, life-threatening calcium-channel-blocker poisoning. Consulted 2026-08-26.
  • DailyMed. Diltiazem hydrochloride extended-release capsules prescribing information. Set ID 11b43a17-8038-462b-8902-259431ad5256. Overdosage section. Revised 2023.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.