Management of acute severe verapamil intoxication.

A 41-year-old man ingested 6.8 g of verapamil in a suicide attempt. The patient was severely hypotensive, oliguric, and developed a variety of dysrhythmias. He was also hyperglycemic. The patient was successfully resuscitated with intravenous normal saline, calcium chloride, dopamine, and norepinephrine. A review of the manifestations of verapamil intoxication and suggestions for management are outlined.