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10.2 Life supportive procedures and symptomatic/specific treatment
Severe hypertension and tachycardia should be treated
with the intravenous administration of a short-acting,
selective beta-blocker such as esmolol (Burkhart, 1992;
Bismuth, 2000). (Care should be taken as hypertension may be
aggrevated with use of beta-blockers owing to unopposed
alpha-agonist effects). Alternative treatments for
hypertension include nitroprusside or nitroglycerin infusion
In the treatment of ventricular dysrhythmias, lidocaine or
bretylium may be required.
Convulsions require administration of intravenous
diazepam.
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