A client with life-threatening beta-blocker poisoning remain… | MyMerci
Adverse Effects/Contraindications/Interactions PPT
Question

A client with life-threatening beta-blocker poisoning remains bradycardic and hypotensive despite initial vasopressor therapy. Which prescribed therapy should the nurse anticipate early?

Explanation
The AHA recommends early high-dose insulin therapy for life-threatening beta-blocker poisoning, with dextrose and close glucose, potassium, volume, and hemodynamic monitoring.
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In-depth explanation

Quick answer
Expect high-dose IV regular insulin therapy.

Why this is correct
High-dose insulin supports poisoned myocardium but can cause hypoglycemia, potassium shifts, and fluid burden, so it requires protocol-driven monitoring.

Easy analogy or mental picture
Support the failing pump while watching the fuel and electrolyte gauges.

Memory hook
Beta blocker shock: HIET plus glucose and potassium surveillance.

NCLEX decision rule
Use an antidotal shock protocol, not routine outpatient diabetes dosing.

Why the other choices are wrong
Long-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

Clinical scenario

Beta-blocker poisoning
Coordinate vasopressors, antidotal therapy, glucose, potassium, volume status, ECG, and toxicology consultation.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.