Olgu Sunumu

The importance of hemodialysis in intoxications with 3 case reports

Cilt: 11 Sayı: 4 28 Aralık 2020
PDF İndir
EN

The importance of hemodialysis in intoxications with 3 case reports

Öz

Introduction: While many intoxication cases are cured with medical treatment, antidote therapy and symptomatic treatment; some cases may need hemodialysis treatment or even invasive mechanical ventilation support. We aimed to examine the place of hemodialysis in three rare intoxication cases seen in our hospital. Case Reports: 43-year-old male patient was admitted to the emergency service with metformin intoxication . The patient with type B lactic acidosis was treated with urgent hemodialysis After a session of hemodialysis, the clinical and laboratory data returned to normal. 19-year-old female patient admitted to the emergency service with theophylline intoxication. The blood theophylline level was toxic.The patient with symptoms of intoxication (tachycardia, hypokalemia, severe nausea and vomiting, etc.) regressed after a session of hemodialysis . 22-year-old mental retarded male patient was admitted to the emergency service with loss of consciousness. The patient with metabolic acidosis was taken to the intensive care unit with coma of unknown cause. 4 sessions of hemodialysis was applied to the patient who developed acute renal failure. It was learned that the patient drank ethylene glycol (antifreeze). Result: All our patients could be discharged with full recovery.Hemodialysis treatment has an important place in the treatment of intoxication cases.

Anahtar Kelimeler

Destekleyen Kurum

yok

Kaynakça

  1. 1. Goktas, U., Isık, Y., Cegin, M. B., Soyoral, L., Kati, I. A. Retrospectıve analysis of the poisoning cases who were followed in our intensive care unit. Journal of Anesthesia 2011; 19 (2): 114 – 116 2. Jha VK, Padmaprakash KV. Extracorporeal Treatment in the Management of Acute Poisoning: What an Intensivist Should Know?. Indian J Crit Care Med. 2018;22(12):862-869. doi:10.4103/ijccm.IJCCM_425_18
  2. 3. Biradar V, Moran JL, Peake SL, Peter JV. Metformin-associated lactic acidosis (MALA): clinical profile and outcomes in patients admitted to the intensive care unit. Crit Care Resusc. 2010;12(3):191-195.
  3. 4. Nguyen HL, Concepcion L. Metformin intoxication requiring dialysis. Hemodial Int. 2011;15 Suppl 1:S68-S71. doi:10.1111/j.1542-4758.2011.00605.x
  4. 5. Friesecke S, Abel P, Roser M, Felix SB, Runge S. Outcome of severe lactic acidosis associated with metformin accumulation. Crit Care. 2010;14(6):R226. doi:10.1186/cc9376
  5. 6. Çevik Y, Kavalcı C, Daş M, İzdeş S. Severe theophylline intoxication, rhabdomyolysis, disseminated intravascular coagulopathy and death: Case report. AKATOS 2010;1:24-27.
  6. 7. Açıkalın A, Gülen M, Kösenli Ö, Topal M. Teofilin zehirlenmesi: Hemodiyaliz mi? Hemoperfüzyon mu? AKATOS 2011;2(3):39-41. doi: 10.5505/jaemcr.2011.87587
  7. 8. Latus J, Kimmel M, Alscher MD, Braun N. Ethylene glycol poisoning: a rare but life-threatening cause of metabolic acidosis-a single-centre experience. Clin Kidney J. 2012;5(2):120-123. doi:10.1093/ckj/sfs009.
  8. 9. Lister, D., Tierney, M., Dickinson, G . Effectiveness of IV ethanol therapy combined with hemodialysis in the treatment of methanol and ethylene glycol poisoning. The Canadian Journal of Hospital Pharmacy, 2005 ;58(3):142-147

Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri

Bölüm

Olgu Sunumu

Yayımlanma Tarihi

28 Aralık 2020

Gönderilme Tarihi

14 Eylül 2020

Kabul Tarihi

20 Kasım 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 11 Sayı: 4

Kaynak Göster

APA
Soylu, V. G., Yılmaz, A., Taşkın, Ö., Demir, U., & Uyar, B. (2020). The importance of hemodialysis in intoxications with 3 case reports. Journal of Emergency Medicine Case Reports, 11(4), 108-110. https://doi.org/10.33706/jemcr.794850
AMA
1.Soylu VG, Yılmaz A, Taşkın Ö, Demir U, Uyar B. The importance of hemodialysis in intoxications with 3 case reports. Journal of Emergency Medicine Case Reports. 2020;11(4):108-110. doi:10.33706/jemcr.794850
Chicago
Soylu, Veysel Garani, Ayşe Yılmaz, Öztürk Taşkın, Ufuk Demir, ve Bülent Uyar. 2020. “The importance of hemodialysis in intoxications with 3 case reports”. Journal of Emergency Medicine Case Reports 11 (4): 108-10. https://doi.org/10.33706/jemcr.794850.
EndNote
Soylu VG, Yılmaz A, Taşkın Ö, Demir U, Uyar B (01 Aralık 2020) The importance of hemodialysis in intoxications with 3 case reports. Journal of Emergency Medicine Case Reports 11 4 108–110.
IEEE
[1]V. G. Soylu, A. Yılmaz, Ö. Taşkın, U. Demir, ve B. Uyar, “The importance of hemodialysis in intoxications with 3 case reports”, Journal of Emergency Medicine Case Reports, c. 11, sy 4, ss. 108–110, Ara. 2020, doi: 10.33706/jemcr.794850.
ISNAD
Soylu, Veysel Garani - Yılmaz, Ayşe - Taşkın, Öztürk - Demir, Ufuk - Uyar, Bülent. “The importance of hemodialysis in intoxications with 3 case reports”. Journal of Emergency Medicine Case Reports 11/4 (01 Aralık 2020): 108-110. https://doi.org/10.33706/jemcr.794850.
JAMA
1.Soylu VG, Yılmaz A, Taşkın Ö, Demir U, Uyar B. The importance of hemodialysis in intoxications with 3 case reports. Journal of Emergency Medicine Case Reports. 2020;11:108–110.
MLA
Soylu, Veysel Garani, vd. “The importance of hemodialysis in intoxications with 3 case reports”. Journal of Emergency Medicine Case Reports, c. 11, sy 4, Aralık 2020, ss. 108-10, doi:10.33706/jemcr.794850.
Vancouver
1.Veysel Garani Soylu, Ayşe Yılmaz, Öztürk Taşkın, Ufuk Demir, Bülent Uyar. The importance of hemodialysis in intoxications with 3 case reports. Journal of Emergency Medicine Case Reports. 01 Aralık 2020;11(4):108-10. doi:10.33706/jemcr.794850