A 47-year-old female presents to your emergency department 30 minutes after a suicide attempt in which she ingested 2000 mg of sustained release diltiazem. She insists there were no other ingested medications. The patient has experienced no vomiting. Physical Examination: T: 99.4°F HR: 90 bpm RR: 17 breaths per minute BP: 120/70 mm Hg General: Alert and oriented. HEENT: Examination is normal. Pulmonary: Clear to auscultation. CV: Regular rate and rhythm without murmur. Abdomen: Soft and non-tender.

Neurologic: GCS 15. Cranial nerves II-XII intact. Skin: Pale with a normal capillary refill. What are the complications which may be associated with this type of overdose? *This case is from Docplexus Editorial Team for educative purpose only. Source: Pharmacology cases Answer is posted in the comments section. Click to view