Academic Journal
Conventional and Unconventional Lifesaving Therapies in an Adolescent With Amlodipine Ingestion.
| Τίτλος: | Conventional and Unconventional Lifesaving Therapies in an Adolescent With Amlodipine Ingestion. |
|---|---|
| Συγγραφείς: | Reuter-Rice KE; Karin E. Reuter-Rice is an associate professor and a Robert Wood Johnson Foundation scholar, School of Nursing and School of Medicine, Department of Pediatrics, Duke University, Durham, North Carolina. She is also a pediatric nurse practitioner in critical care at Duke University Health System and formerly at Rady Children's Hospital, San Diego, California.Bradley M. Peterson is a senior consultant to the pediatric intensive care unit, Rady Children's Hospital. karin.reuter-rice@duke.edu., Peterson BM; Karin E. Reuter-Rice is an associate professor and a Robert Wood Johnson Foundation scholar, School of Nursing and School of Medicine, Department of Pediatrics, Duke University, Durham, North Carolina. She is also a pediatric nurse practitioner in critical care at Duke University Health System and formerly at Rady Children's Hospital, San Diego, California.Bradley M. Peterson is a senior consultant to the pediatric intensive care unit, Rady Children's Hospital. |
| Πηγή: | Critical care nurse [Crit Care Nurse] 2016 Aug; Vol. 36 (4), pp. 64-9. |
| Τύπος έκδοσης: | Case Reports; Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: American Association of Critical-Care Nurses Country of Publication: United States NLM ID: 8207799 Publication Model: Print Cited Medium: Internet ISSN: 1940-8250 (Electronic) Linking ISSN: 02795442 NLM ISO Abbreviation: Crit Care Nurse |
| Imprint Name(s): | Publication: Original Publication: [Bridgewater, N.J. : Simms Associates, c1980- |
| Ιατρικοί όροι (MeSH): | Amlodipine/*poisoning , Antidotes/*administration & dosage , Drug Overdose/*therapy , Suicide, Attempted/*psychology, Critical Care/methods ; Drug Overdose/diagnosis ; Plasmapheresis/methods ; Suicide, Attempted/prevention & control ; Adolescent ; Combined Modality Therapy ; Emergency Service, Hospital ; Female ; Follow-Up Studies ; Glasgow Coma Scale ; Humans ; Male ; Risk Assessment |
| Περίληψη: | Amlodipine, a dihydropyridine calcium channel blocker, is commonly prescribed for the treatment of hypertension. Ingestion of an overdose leads to severe hypotension; if the hypotension is not treated, death may be imminent. Conventional and unconventional interventions were used to treat an adolescent who ingested a life-threatening dose of amlodipine. Severe hypotension resistant to conventional treatment with intralipids and hyperinsulinemia-euglycemia therapy led to the use of plasmapheresis and a pneumatic antishock garment as lifesaving measures. Plasmapheresis has been described in only one other case of severe amlodipine overdose, and the use of a pneumatic antishock garment has never been described in the management of a calcium channel blocker overdose. Because short-term use of a pneumatic antishock garment has associated risks, the critical care nurse's anticipation of side effects and promotion of safe use of the garment were instrumental in the patient's care and outcome. (Critical Care Nurse 2016; 36[4]:64-69). (©2016 American Association of Critical-Care Nurses.) |
| Substance Nomenclature: | 0 (Antidotes) 1J444QC288 (Amlodipine) |
| Entry Date(s): | Date Created: 20160803 Date Completed: 20180205 Latest Revision: 20180205 |
| Update Code: | 20260130 |
| DOI: | 10.4037/ccn2016524 |
| PMID: | 27481803 |
| Βάση Δεδομένων: | MEDLINE |
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