Calcium channel blocker toxicity can be devastating. Initial therapy with fluid, calcium, and adrenoreceptor agonists should be prompt and novel therapies can be added if no response. Determining cardiogenic shock versus vasoplegia with echocardiogram or other hemodynamic monitoring may guide treatment options.
Keywords: Calcium channel blocker; hyperinsulinemia-euglycemia therapy; lipid emulsion; methylene blue; overdose.