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Acil Servise Zehirlenme ile Başvuran Hastalara Genel Yaklaşım

Year 2022, Volume: 4 Issue: 1, 11 - 16, 30.04.2022
https://doi.org/10.51262/ejtox.1093234

Abstract

Zehirlenmeler ciddi mortalite ve morbiditeye neden olabilen ve Acil Servislere sık başvuran hasta grubudur. Zehirlenme olgusuna yaklaşımın önceden belirlenmiş tanı ve tedavi akışları ile sağlanması tedavideki başarı oranlarını artıracaktır. Zehirlenmiş olguların acil serviste en erken dönemde tanınıp değerlendirilmesi, erken dekontaminasyon ve eliminasyonunun yapılması, varsa uygun antidot tedavisinin verilmesi hayat kurtarıcıdır. Bu makalede Acil Servise başvuran zehirlenme vakalarının genel yönetiminin güncel literatür bilgileri doğrultusunda derlenmesi amaçlandı.

References

  • Greene S. Zehirlenen hastaların genel yönetimi. In: Tintinalli JE, editor. Tintinalli Acil Tıp, 9. baskı. İstanbul: Nobel Tıp Kitabevi; 2021.p.1187-1194.
  • Levine MD. General approach to drug poisoning in adults. Available from: www.uptodate.com/contents/general-approach-to-drug-poisoning-in-adults (Acces date: 31.03.2022)
  • Meehan TJ. Zehirlenmiş hastaya yaklaşım. In: Walls RM, Hockberger RS, Gausche-Hill M, editors. Rosen Acil Tıp Kavramlar ve Klinik Uygulama, 9.Baskı. İstanbul: Yeditepe Üniversitesi Yayınevi; 2019.p.1813-1822.
  • Ünal Akoğlu E. Zehirlenen hastaya genel yaklaşım. In: Cander B, editor. Cander Acil Tıp Temel Başvuru Kitabı, 2.Baskı. İstanbul: İstanbul Tıp Kitabevi; 2020.p.1958- 1969.
  • Şahin A, Zehir danışma merkezinde yönetim ve akış seması. In:Kekeç Z, editor.Acil Tıp Pratiğinde Klinik Toksikoloji,1. Baskı.Ankara: EMA Tıp kitapevi yayıncılık; 2020.p.3-7.
  • Acil Ağar İG,Babuş Bozkurt S, Zehirlenmiş hastaya yaklaşım. In: Kekeç Z, editor. Acil Tıp Pratiğinde Klinik Toksikoloji, 1. Baskı.Ankara: EMA Tıp kitapevi yayıncılık; 2020.p.25-37.
  • David CL. Sedatifhipnotikler. In: Hoffman RS, Nelson LS, Howland MA, Lewin NA, Flomenbaum NE, Goldfrank LR, editors.Goldfrank’ınToksikolojik Aciller El Kitabı, 1. Baskı. Adana: Adana Nobel Kitapevi; 2008.p.615-622.
  • Dagar S, Cevik Y. Zehirlenmelerde ekstrakorporeal tedaviler. Eurasian J Tox. 2019;1(2):43-8.
  • Ghannoum M, Bouchard J, Nolin TD, Ouellet G, Roberts DM. Hemoperfusion for the treatment of poisoning: technology, determinants of poison clearance, and application in clinical practice. Semin Dial. 2014;27:350-6.
  • Rahman MH, Haqqie SS, McGoldrick MD. Acute hemolysis with acute renal failure in a patient with valproic acid poisoning treated with charcoal hemoperfusion. Hemodial Int. 2006;10:256-9.
  • David SG, Daniel M, Eliminasyonu artırmaya yönelik ilke ve teknikler.In: Hoffman RS, Nelson LS, Howland MA, Lewin NA, Flomenbaum NE, Goldfrank LR, editors. Goldfrank’ınToksikolojik Aciller El Kitabı, 1. Baskı. Adana: Adana Nobel Kitapevi; 2008.p.81-85.
  • Ward RA, Schmidt B, Hullin J, Hillebrand GF, Samtleben W. A comparison of on-line hemodiafiltration and high-flux hemodialysis: a prospective clinical study. J Am Soc Nephrol. 2000;11:2344-5.
  • Calello DP, Liu KD, Wiegand TJ, Roberts DM, Lavergne V, Gosselin S, et al. Extracorporeal treatment for metformin poisoning: systematic review and recommendations from the Extracorporeal Treatments in Poisoning Work group. Crit Care Med. 2015;43:1716-30.
  • Bailey AR, Sathianathan VJ, Chiew AL, Paterson AD, Chan BS, Arora S. Comparison of intermittent haemodialysis, prolonged intermittent renal replacement therapy and continuous renal replacement haemofiltration for lithium toxicity: a case report. Crit Care Resusc. 2011;13:12-2.
  • Leitner GC, Hiesmayr M, Hoecker P, Jilma B. Therapeutic approaches in the management of oral cyclosporine A intoxication. Transplantation. 2003;75:1764-5.
  • Southgate HJ, Masterson R. Lessonsto be learned: a case study approach: prolonged methaemoglobinaemia due to inadvertent dapsone poisoning; Treatment with methyleneblue and exchange transfusion. J R Soc Promot Health. 1999;119(1):52-5.
  • William AW, Martin GB, Nonstreoidantiinflamatuar ajanlar. In: Hoffman RS, Nelson LS, Howland MA, Lewin NA, Flomenbaum NE, Goldfrank LR, editors. Goldfrank’ınToksikolojik Aciller El Kitabı, 1. Baskı. Adana: Adana Nobel Kitapevi; 2008.p.315-323.

General Approach to Patients Admitted to The Emergency Department with Poisoning

Year 2022, Volume: 4 Issue: 1, 11 - 16, 30.04.2022
https://doi.org/10.51262/ejtox.1093234

Abstract

Poisonings are a group of patients that can cause serious mortality and morbidity and are frequently referred to Emergency Departments. Providing an approach to the poisoning phenomenon with predetermined diagnosis and treatment will increase the success rates in treatment. Diagnosing and evaluating poisoned cases in the emergency department at the earliest stage, early decontamination, elimination, and appropriate antidote treatment are life-saving. In this article, it is aimed to compile the general management of poisoning cases admitted to the Emergency Department in line with the current literature.

References

  • Greene S. Zehirlenen hastaların genel yönetimi. In: Tintinalli JE, editor. Tintinalli Acil Tıp, 9. baskı. İstanbul: Nobel Tıp Kitabevi; 2021.p.1187-1194.
  • Levine MD. General approach to drug poisoning in adults. Available from: www.uptodate.com/contents/general-approach-to-drug-poisoning-in-adults (Acces date: 31.03.2022)
  • Meehan TJ. Zehirlenmiş hastaya yaklaşım. In: Walls RM, Hockberger RS, Gausche-Hill M, editors. Rosen Acil Tıp Kavramlar ve Klinik Uygulama, 9.Baskı. İstanbul: Yeditepe Üniversitesi Yayınevi; 2019.p.1813-1822.
  • Ünal Akoğlu E. Zehirlenen hastaya genel yaklaşım. In: Cander B, editor. Cander Acil Tıp Temel Başvuru Kitabı, 2.Baskı. İstanbul: İstanbul Tıp Kitabevi; 2020.p.1958- 1969.
  • Şahin A, Zehir danışma merkezinde yönetim ve akış seması. In:Kekeç Z, editor.Acil Tıp Pratiğinde Klinik Toksikoloji,1. Baskı.Ankara: EMA Tıp kitapevi yayıncılık; 2020.p.3-7.
  • Acil Ağar İG,Babuş Bozkurt S, Zehirlenmiş hastaya yaklaşım. In: Kekeç Z, editor. Acil Tıp Pratiğinde Klinik Toksikoloji, 1. Baskı.Ankara: EMA Tıp kitapevi yayıncılık; 2020.p.25-37.
  • David CL. Sedatifhipnotikler. In: Hoffman RS, Nelson LS, Howland MA, Lewin NA, Flomenbaum NE, Goldfrank LR, editors.Goldfrank’ınToksikolojik Aciller El Kitabı, 1. Baskı. Adana: Adana Nobel Kitapevi; 2008.p.615-622.
  • Dagar S, Cevik Y. Zehirlenmelerde ekstrakorporeal tedaviler. Eurasian J Tox. 2019;1(2):43-8.
  • Ghannoum M, Bouchard J, Nolin TD, Ouellet G, Roberts DM. Hemoperfusion for the treatment of poisoning: technology, determinants of poison clearance, and application in clinical practice. Semin Dial. 2014;27:350-6.
  • Rahman MH, Haqqie SS, McGoldrick MD. Acute hemolysis with acute renal failure in a patient with valproic acid poisoning treated with charcoal hemoperfusion. Hemodial Int. 2006;10:256-9.
  • David SG, Daniel M, Eliminasyonu artırmaya yönelik ilke ve teknikler.In: Hoffman RS, Nelson LS, Howland MA, Lewin NA, Flomenbaum NE, Goldfrank LR, editors. Goldfrank’ınToksikolojik Aciller El Kitabı, 1. Baskı. Adana: Adana Nobel Kitapevi; 2008.p.81-85.
  • Ward RA, Schmidt B, Hullin J, Hillebrand GF, Samtleben W. A comparison of on-line hemodiafiltration and high-flux hemodialysis: a prospective clinical study. J Am Soc Nephrol. 2000;11:2344-5.
  • Calello DP, Liu KD, Wiegand TJ, Roberts DM, Lavergne V, Gosselin S, et al. Extracorporeal treatment for metformin poisoning: systematic review and recommendations from the Extracorporeal Treatments in Poisoning Work group. Crit Care Med. 2015;43:1716-30.
  • Bailey AR, Sathianathan VJ, Chiew AL, Paterson AD, Chan BS, Arora S. Comparison of intermittent haemodialysis, prolonged intermittent renal replacement therapy and continuous renal replacement haemofiltration for lithium toxicity: a case report. Crit Care Resusc. 2011;13:12-2.
  • Leitner GC, Hiesmayr M, Hoecker P, Jilma B. Therapeutic approaches in the management of oral cyclosporine A intoxication. Transplantation. 2003;75:1764-5.
  • Southgate HJ, Masterson R. Lessonsto be learned: a case study approach: prolonged methaemoglobinaemia due to inadvertent dapsone poisoning; Treatment with methyleneblue and exchange transfusion. J R Soc Promot Health. 1999;119(1):52-5.
  • William AW, Martin GB, Nonstreoidantiinflamatuar ajanlar. In: Hoffman RS, Nelson LS, Howland MA, Lewin NA, Flomenbaum NE, Goldfrank LR, editors. Goldfrank’ınToksikolojik Aciller El Kitabı, 1. Baskı. Adana: Adana Nobel Kitapevi; 2008.p.315-323.
There are 17 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Review Article
Authors

Aynur Ecevit Kaya 0000-0002-9560-1866

Publication Date April 30, 2022
Submission Date March 31, 2022
Published in Issue Year 2022 Volume: 4 Issue: 1

Cite

APA Ecevit Kaya, A. (2022). General Approach to Patients Admitted to The Emergency Department with Poisoning. Eurasian Journal of Toxicology, 4(1), 11-16. https://doi.org/10.51262/ejtox.1093234
AMA Ecevit Kaya A. General Approach to Patients Admitted to The Emergency Department with Poisoning. Eurasian J Tox. April 2022;4(1):11-16. doi:10.51262/ejtox.1093234
Chicago Ecevit Kaya, Aynur. “General Approach to Patients Admitted to The Emergency Department With Poisoning”. Eurasian Journal of Toxicology 4, no. 1 (April 2022): 11-16. https://doi.org/10.51262/ejtox.1093234.
EndNote Ecevit Kaya A (April 1, 2022) General Approach to Patients Admitted to The Emergency Department with Poisoning. Eurasian Journal of Toxicology 4 1 11–16.
IEEE A. Ecevit Kaya, “General Approach to Patients Admitted to The Emergency Department with Poisoning”, Eurasian J Tox, vol. 4, no. 1, pp. 11–16, 2022, doi: 10.51262/ejtox.1093234.
ISNAD Ecevit Kaya, Aynur. “General Approach to Patients Admitted to The Emergency Department With Poisoning”. Eurasian Journal of Toxicology 4/1 (April 2022), 11-16. https://doi.org/10.51262/ejtox.1093234.
JAMA Ecevit Kaya A. General Approach to Patients Admitted to The Emergency Department with Poisoning. Eurasian J Tox. 2022;4:11–16.
MLA Ecevit Kaya, Aynur. “General Approach to Patients Admitted to The Emergency Department With Poisoning”. Eurasian Journal of Toxicology, vol. 4, no. 1, 2022, pp. 11-16, doi:10.51262/ejtox.1093234.
Vancouver Ecevit Kaya A. General Approach to Patients Admitted to The Emergency Department with Poisoning. Eurasian J Tox. 2022;4(1):11-6.

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