Friday, July 7, 2017

Too Much Beta Blocker

The patient was prescribed metoprolol 12.5mg daily.  His prescription bottle as filled with 50 mg tablets with instruction to take 1/4 tablet daily.  His blood pressure was running high so he decided to take "some extra blood pressure medicine."  He came to the ER with complaints of dizziness and weakness.  In the ER, he was treated with atropine 0.5 mg IV X 2.  BP: 179/88, HR: 35 on admission.

Hospital day 2
2nd degree heart block type II

Second degree heart block type I with trigeminal PVCs


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