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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.
Subject(s)

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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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