Kardiyopulmoner arrest ile sonuçlanan metformin ilişkili laktik asidoz: nadir bir olgu

Yıl 2018, Cilt: 1 Sayı: 4, 106 - 109, 30.12.2018

Özlem Yayar Mustafa Şahin , Barış Eser Ünsal Savcı

https://doi.org/10.32322/jhsm.452436

Cited By: 1

Öz

Metformin, tip 2 diabetes mellitus tedavisinde birinci basamak ajan olarak yaygın olarak kullanılan oral hipoglisemik bir ilaçtır. Son zamanlarda yapılan çalışmalarda, normal aralıkta hafif veya orta derecede böbrek yetmezliği olan hastaların metformin ilaç düzeyleri normal bulundu ve ayrıca laktat düzeyleri normal sınırlarda bulundu. Ancak, hastanın böbrek fonksiyonu, karaciğer yetmezliği veya akut enfeksiyonu kötüleşmesi durumunda klinik önemi artar. Bu durumlarda, ilaç seviyeleri, yaşamı tehdit eden laktik asidozu arttırabilir. Biz burada kardiyopulmoner arrest ile sonuçlanan bir metformin ilişkili laktik asidoz olgusunu sunuyoruz. 

Anahtar Kelimeler

Metformin, laktik asidoz, kardiyopulmoner arrest

Metformin associated lactic acidosis resulted in cardiopulmonary arrest: a rare case

Öz

Metformin
is an oral hypoglycemic drug which is commonly used as a first-line agent in
the treatment of type 2 diabetes mellitus. In recent studies, metformin drug
levels of the patients with mild or moderate renal impairment were found in
normal range and also lactate levels were found in normal range. But it’s
clinical importance increases when the patient had worsening renal function,
hepatic insufficiency or acute infection. In these situations, drug levels can
increase lactic acidosis leading to life threatening. Here we present a case of
metformin associated lactic acidosis resulted in cardiopulmonary arrest. 

Anahtar Kelimeler

Metformin, lactic acidosis, cardiopulmonary arrest

Kaynakça

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