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Water intoxication with pronounced hyponatremia (S-Na 200 mmHg) invasive blood pressure monitoring with arterial catheter: Infusion of glyceryl trinitrate (Nitroglycerin ) 0.2-0.5 g/kg/min Infusion of magnesium sulfate, 20 mmol in 100 ml NaCl over 20 minutes followed by 20 mmol over 20 hours Beta-blockers with caution, such as metoprolol (Seloken ), labetalol (Trandate ) Alpha-blockers with caution, such as doxazosin (Alfadil ), labetalol (Trandate ) ICD-10 F16.0 Mental and behavioral disorders due to use of hallucinogens, acute intoxication F16.1 Mental and behavioral disorders due to use of hallucinogens, harmful use F14.2 Mental and behavioral disorders due to use of cocaine, dependence syndrome T43.6 Psychostimulants with abuse potential T40.6 Other and unspecified narcotics F15.1 Mental and behavioral disorders due to use of other stimulants, including caffeine, harmful use F15.0 Mental and behavioral disorders due to use of other stimulants, including caffeine, acute intoxication References Gouzoulis-Mayfrank E

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