Published in:
01-04-2016 | Imaging in Intensive Care Medicine
Cardiac effect of sodium bicarbonate in sodium-channel blocker poisoning
Published in: Intensive Care Medicine | Issue 4/2016
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A 52-year-old epileptic woman—under oxcarbazepine and lamotrigine—was referred to the emergency room because of the sudden onset of nystagmus, ataxia, dizziness, acute renal failure and tachycardia. Given the pathological feature of EKG, an intravenous bolus of 50 mL of sodium bicarbonate 8.4 % was administered and immediately resulted in restoration of normal cardiac rhythm (Fig. 1).
Fig. 1
a First EKG showing a wide QRS complex tachycardia with a sine wave appearance. b An intravenous bolus of sodium bicarbonate rapidly resulted in restoration of normal sinus rhythm (arrow)
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