Quick answerExpect
high-dose IV regular insulin therapy.
Why this is correctHigh-dose insulin supports poisoned myocardium but can cause hypoglycemia, potassium shifts, and fluid burden, so it requires protocol-driven monitoring.
Easy analogy or mental pictureSupport the failing pump while watching the fuel and electrolyte gauges.
Memory hookBeta blocker shock: HIET plus glucose and potassium surveillance.NCLEX decision ruleUse an antidotal shock protocol, not routine outpatient diabetes dosing.
Why the other choices are wrongLong-acting subcutaneous insulin is not titratable rescue therapy; calcium-channel blockade and withdrawal of support worsen shock.
References
1AHA Focused Update: Life-Threatening PoisoningPoison-center consultation, sodium bicarbonate, and high-dose insulin recommendations