![]() ![]() ![]() One patient had a serum glucose concentration of <65 mg/dL that was rapidly corrected. In a case series of seven patients with severe calcium-channel blocker overdoses in which HIET was used, serum glucose and potassium levels were monitored closely (every thirty minutes until stabilized and then every 1-2 hours).No irreversible adverse effects have been reported( Engebretsen 2011). Most common adverse effects of HIET include hypoglycemia and electrolyte imbalances, especially hypokalemia.An improvement in EF is a good sign the therapy is working. Repeat after 30-60 hours of insulin therapy. ![]() Obtain a bedside echocardiogram upon arrival to estimate the patient’s ejection fraction.
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