A Case of Acute on Chronic Salicylate Poisoned Elderly Patient with Early Utilization of Continuous Venovenous Hemodiafiltration: A Case Report / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 177-180, 2011.
Article
in Korean
| WPRIM
| ID: wpr-650642
ABSTRACT
Salicylate poisonings are divided into acute and chronic syndromes. The most challenging aspect of the management of aspirin-poisoning may be recognition of subtle signs and symptoms of chronic, unintentional overdose. Chronic poisoning typically occurs in elderly as a result of unintentional overdosing on salicylates used to treat chronic conditions. Treatment is directed toward preventing intestinal absorption of the drugs and enhanced elimination. After the first-line treatments, aspirin overdose with its complications of hemodynamic, electrolyte and acid-base issues, is best managed by prompt hemodialysis. We report a case of a 87-year-old woman, who presented with acute on chronic salicylate poisoning. After early continuous venovenous hemodiafiltration, old woman made a good recovery from the salicylism but suffered paralytic ileus caused by aspirin enteroliths. Physician can decide a prompt hemodialysis for salicylate-poisoned patients, who worsen clinical courses despite of first-line therapies.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Intestinal Pseudo-Obstruction
/
Salicylates
/
Aspirin
/
Renal Dialysis
/
Hemodiafiltration
/
Hemodynamics
/
Intestinal Absorption
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Critical Care Medicine
Year:
2011
Type:
Article
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