TY  - JOUR
T1  - Ventricular Dysrhythmia Caused By Inadvertent IV Epinephrine Administration
TT  - Yanlışlıkla IV Epinefrin Uygulamasına Bağlı Ventriküler Disritmi
AU  - Yiğit, Özlem
AU  - Çakır, Umut
AU  - Akyol, Can
AU  - Sayrac, Neslihan
AU  - Karakoyun, Ömer Faruk
PY  - 2019
DA  - July
JF  - Anatolian Journal of Emergency Medicine
JO  - Anatolian J Emerg Med
PB  - Türkiye Acil Tıp Derneği
WT  - DergiPark
SN  - 2651-4311
SP  - 25
EP  - 27
VL  - 2
IS  - 2
LA  - en
AB  - This case describes a 38-year-old man who presented with an acute anaphylactic reaction occurred after intramuscular penicillin injection. He was erroneously given 0.5 mg (1:1000) intravenous (IV) epinephrine and revealed severe chest pain with a wide complex tachycardia seen on ECG. This case is an example of ventricular dysrhythmia occurred following inadvertent IV administration of epinephrine and illustrates a potential danger when the medication dosed incorrectly for anaphylaxis.
KW  - Anaphylaxis
KW  - intravenous epinephrine
KW  - ventricular dysrhythmia
N2  - Bu olgu sunumunda, intramuskuler penisilin enjeksiyonu sonrasıakut anaflaktik reaksiyon gelişen 38 yaşında bir erkek hasta sunulmuştur. Hastaya yanlışlıkla 0.5 mg (1:1000) epinefrin intravenoz olarak uygulanmış, sonrasında akut gelişen ciddi göğüs ağrısıve EKG' de genişkompleks taşikardigözlenmiştir. Bu olgu ile, epinefrinİV yanlışdoz uygulanmasının ortaya çıkardığıventrikuler disritmiörneği ile anaflaksi için epinefrinuygulamasınınpotansiyel tehlikelerine dikkat çekmek amaçlanmaktadır.
CR  - 1. Nowak R, Farrar JR, Brenner BE, et. al. Customizing anaphylaxis guidelines for emergency medicine. J Emerg Med. 2013 Aug;45(2):299-3062. Kemp SF, Lockey RF, Simons FER. World Allergy Organization ad hoc Committee on Epinephrine in Anaphylaxis. Epinephrine: the drug of choice for anaphylaxis. A statement of the World Allergy Organization. Allergy 2008;63:1061–70.3. Wood JP, Traub SJ, Lipinski C. Safety of epinephrine for anaphylaxis in the emergency setting. World J Emerg Med. 2013;4(4):245-51.).4.Campbell RL, Li JT, Nicklas RA, Sadosty AT; Members of the Joint Task Force; Practice Parameter Workgroup. Emergency department diagnosis and treatment of anaphylaxis: a practice parameter. Ann Allergy Asthma Immunol. 2014 Dec;113(6):599-6085. Muraro A, Roberts G, Worm M, et, al.  EAACI Food Allergy and Anaphylaxis Guidelines Group. Anaphylaxis: Guidelines from the European Academy of Allergy and Clinical Immunology. Allergy. 2014 Aug;69(8):1026-456.McLean-Tooke AP, Bethune CA, Fay AC, Spickett GP. Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ. 2003 Dec 6;327(7427):1332-5.7. McLean-Tooke APC, Bethune CA, Fay AC, Spickett GP. Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ volume 327 6 December 20038. Hahn IH, Schnadower D, Dakin RJ, Nelson LS. Cellular phone interference as a cause of acute epinephrine poisoning. Ann Emerg Med. 2005;46(3):298-99. Kanwar M, Irvin CB, Frank JJ, Wber K, Rosman H. Confusion about epinephrine dosing leading to iatrogenic overdose: a lifethreatening problem with a potential solution. Ann Emerg Med. 2010;55:341-34410. Benkelfat R. Medıcation errors in the management of anaphylaxıs in a pediatric emergency department. The Journal of Emergency Medicine, Vol. 45, No. 3, Pp. 419–425, 2013
UR  - https://dergipark.org.tr/en/pub/anatolianjem/issue//595688
L1  - https://dergipark.org.tr/en/download/article-file/775025
ER  -