Your patient is a 56-year-old female who is sitting on a park bench. She is conscious, though lethargic, and complaining of faintness. She states she has had a "chest cold" for the past week so had decided to stop taking her "blood pressure pills" until she felt better. She states that this morning she ingested five tablets instead of her normal one tablet dose to "catch up" after the days off. You note cool, slightly diaphoretic skin; lungs clear bilaterally; PEARL; and no motor deficits. HR = 48, BP = 76/30, RR = 12, SaO₂ = 97%. Which of the following is least likely to be the medication she overdosed on?

Question

Quizplus · Accepted Answer

Metoprolol, a beta-blocker, is less likely to cause the specific combination of symptoms described compared to the other options, which are calcium channel blockers (Procardia, Cardizem, and Verapamil) known for causing significant hypotension and bradycardia when overdosed.

Your Patient Is a 56-Year-Old Female Who Is Sitting on a Park