Öz
Bu olgu sunumunda, intramuskuler penisilin enjeksiyonu sonrası akut anaflaktik reaksiyon gelişen 38 yaşında bir erkek hasta sunulmuştur. Hastaya yanlışlıkla 0.5 mg (1:1000) epinefrin intravenoz olarak uygulanmış , sonrasında akut gelişen ciddi göğüs ağrısı ve EKG' de geniş kompleks taşikardi gözlenmiştir. Bu olgu ile, epinefrin İV yanlış doz uygulanmasının ortaya çıkardığı ventrikuler disritmiörneği ile anaflaksi için epinefrin uygulamasının potansiyel tehlikelerine dikkat çekmek amaçlanmaktadır.
Anahtar Kelimeler
Kaynakça
- 1. Nowak R, Farrar JR, Brenner BE, et. al. Customizing anaphylaxis guidelines for emergency medicine. J Emerg Med. 2013 Aug;45(2):299-3062. Kemp SF, Lockey RF, Simons FER. World Allergy Organization ad hoc Committee on Epinephrine in Anaphylaxis. Epinephrine: the drug of choice for anaphylaxis. A statement of the World Allergy Organization. Allergy 2008;63:1061–70.3. Wood JP, Traub SJ, Lipinski C. Safety of epinephrine for anaphylaxis in the emergency setting. World J Emerg Med. 2013;4(4):245-51.).4.Campbell RL, Li JT, Nicklas RA, Sadosty AT; Members of the Joint Task Force; Practice Parameter Workgroup. Emergency department diagnosis and treatment of anaphylaxis: a practice parameter. Ann Allergy Asthma Immunol. 2014 Dec;113(6):599-6085. Muraro A, Roberts G, Worm M, et, al. EAACI Food Allergy and Anaphylaxis Guidelines Group. Anaphylaxis: Guidelines from the European Academy of Allergy and Clinical Immunology. Allergy. 2014 Aug;69(8):1026-456.McLean-Tooke AP, Bethune CA, Fay AC, Spickett GP. Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ. 2003 Dec 6;327(7427):1332-5.7. McLean-Tooke APC, Bethune CA, Fay AC, Spickett GP. Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ volume 327 6 December 20038. Hahn IH, Schnadower D, Dakin RJ, Nelson LS. Cellular phone interference as a cause of acute epinephrine poisoning. Ann Emerg Med. 2005;46(3):298-99. Kanwar M, Irvin CB, Frank JJ, Wber K, Rosman H. Confusion about epinephrine dosing leading to iatrogenic overdose: a lifethreatening problem with a potential solution. Ann Emerg Med. 2010;55:341-34410. Benkelfat R. Medıcation errors in the management of anaphylaxıs in a pediatric emergency department. The Journal of Emergency Medicine, Vol. 45, No. 3, Pp. 419–425, 2013
Öz
This case describes a 38-year-old man who presented with an acute anaphylactic reaction occurred after intramuscular penicillin injection. He was erroneously given 0.5 mg (1:1000) intravenous (IV) epinephrine and revealed severe chest pain with a wide complex tachycardia seen on ECG. This case is an example of ventricular dysrhythmia occurred following inadvertent IV administration of epinephrine and illustrates a potential danger when the medication dosed incorrectly for anaphylaxis.
Anahtar Kelimeler
Kaynakça
- 1. Nowak R, Farrar JR, Brenner BE, et. al. Customizing anaphylaxis guidelines for emergency medicine. J Emerg Med. 2013 Aug;45(2):299-3062. Kemp SF, Lockey RF, Simons FER. World Allergy Organization ad hoc Committee on Epinephrine in Anaphylaxis. Epinephrine: the drug of choice for anaphylaxis. A statement of the World Allergy Organization. Allergy 2008;63:1061–70.3. Wood JP, Traub SJ, Lipinski C. Safety of epinephrine for anaphylaxis in the emergency setting. World J Emerg Med. 2013;4(4):245-51.).4.Campbell RL, Li JT, Nicklas RA, Sadosty AT; Members of the Joint Task Force; Practice Parameter Workgroup. Emergency department diagnosis and treatment of anaphylaxis: a practice parameter. Ann Allergy Asthma Immunol. 2014 Dec;113(6):599-6085. Muraro A, Roberts G, Worm M, et, al. EAACI Food Allergy and Anaphylaxis Guidelines Group. Anaphylaxis: Guidelines from the European Academy of Allergy and Clinical Immunology. Allergy. 2014 Aug;69(8):1026-456.McLean-Tooke AP, Bethune CA, Fay AC, Spickett GP. Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ. 2003 Dec 6;327(7427):1332-5.7. McLean-Tooke APC, Bethune CA, Fay AC, Spickett GP. Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ volume 327 6 December 20038. Hahn IH, Schnadower D, Dakin RJ, Nelson LS. Cellular phone interference as a cause of acute epinephrine poisoning. Ann Emerg Med. 2005;46(3):298-99. Kanwar M, Irvin CB, Frank JJ, Wber K, Rosman H. Confusion about epinephrine dosing leading to iatrogenic overdose: a lifethreatening problem with a potential solution. Ann Emerg Med. 2010;55:341-34410. Benkelfat R. Medıcation errors in the management of anaphylaxıs in a pediatric emergency department. The Journal of Emergency Medicine, Vol. 45, No. 3, Pp. 419–425, 2013
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Vaka Takdimi |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Temmuz 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 2 Sayı: 2 |
