Yüksek doz digoxin intoksikasyonu: olgu sunumu ve literatür değerlendirmesi

Abstract

Daha önce sağlıklı olduğu bilinen 16 yaşında bayan hasta bulantı, kusma şikâyeti ile acil polikliniğine başvurdu. Hasta yakınlarından alınan öyküde intihar amaçlı 6250 mg (25 adet) digoksin tablet içtiği öğrenildi. Hastanın rutin laboratuar değerleri normal sınırlardaydı. Digoksin intoksikasyonu tanısıyla yoğun bakım ünitesinde takibe alındı. Hastanın yatışının 5. saatinde nodal ritim gelişmesi ve semptomlarının kötüleşmesi üzerine geçici kalp pili takıldı. Takip eden 4. günde genel durumunun düzelmesi ve normal sinüs ritminin görülmesi nedeniyle hasta şifa ile taburcu edildi.

Keywords

• Digoksin düzeyi, Nodal ritim, Fab antikoru, Geçici kalp pili

High dose digoxin intoxication: Case report and literatures evaluation

Abstract

A 16 year old female who was healthy beforehand submitted to our emergency department with nausea and vomiting. It was learnt from her relatives that she took 6250 mg (25 tablets) digoxine due to suicide. The routine laboratory values were in normal border. She was taken to the care unite due to digoxin intoxication. Temporary pacemaker was performed due to the nodal rhythm developed and the symptoms got worst within 5th hours of hospitalization. In 4th days the general condition recovered and normal sinus rhythm developed so she was discharged.

Keywords

• Digoxin level, Nodal rhythm, Fab antikore, Temporary pacemaker

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