Remove inciting factors: alcohol, drugs, toxins, chemicals Nutritional supplementation: at least 300 grams glucose/day Frequent checks of neurologic status: especially watch for development of paresis of muscles of respiration Monitor for hypoventilation (rising arterial PpCO2), hyponatremia, or hypomagnesemia and treat vigorously if found Intravenous heme: 3–4 mg/kg/day for 3–5 days Parenteral meperidine or morphine for pain Phenothiazines for nausea, vomiting, agitation, etc. Propranolol or nadolol for tachycardia, hypertension
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