PERİNDOPRİL /AMLODİPİN AŞIRI DOZ KULLANIMINA BAĞLI AKUT BÖBREK YETMEZLİĞİ VAKASI
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Dosyalar
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Namık Kemal Üniversitesi, Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Sabit doz kombinasyon preperatları hipertansiyon tedavisinde önemli alternatiflerdendir. Bu preperatlardan intihar amaçlı yüksek doz alan hastalarda yaklaşım hala net değildir. Bu olgu sunumunda, perindopril 5 mg ve amlodipin 10 mg kombinasyon tedavisinden 26 adet intihar amacı ile alan 51 yaşında erkek tartışılmıştır. Hasta acil servise, baş dönmesi ve halsizlik ile başvurmuş ve ilk müdahelesi yapılıp dahili yoğun bakımda takibe alınmıştır. Akut böbrek yetmezliği ve hipotansiyon gelişen hastada, sıvı tedavisi ve semptomatik tedavi ile bu bulgular gerilemiş ve hasta taburcu edilmiştir.
Fixed -dose combination therapies are important alternative of hypertension treatment. The management of suicidal intoxication with these conbination preparations which might have different and sometimes interactive mechanisms is still unclear. In this case-report a 51 -yearold male patient who had taken 26 pills of perindopril 5 mg and amlodipine 10 mg combination drug. He admitted to the emergency department with the complications of dizziness and fatigue. He was followed in intensive care unit after his first medical care unitafter his first medical emergency intervensions. After development of hypotensionand acute renal failure, he improved with fluid resussitation and symtomatic treatment and he was discharged.
Fixed -dose combination therapies are important alternative of hypertension treatment. The management of suicidal intoxication with these conbination preparations which might have different and sometimes interactive mechanisms is still unclear. In this case-report a 51 -yearold male patient who had taken 26 pills of perindopril 5 mg and amlodipine 10 mg combination drug. He admitted to the emergency department with the complications of dizziness and fatigue. He was followed in intensive care unit after his first medical care unitafter his first medical emergency intervensions. After development of hypotensionand acute renal failure, he improved with fluid resussitation and symtomatic treatment and he was discharged.
Açıklama
Anahtar Kelimeler
Perindopril, amlodipin, akut böbrek yetmezliği, aşırı doz, kombinasyon tedavisi, acute renal failure, over dose, combination theraphy
Kaynak
Namık Kemal Tıp Dergisi (International Journal of Basic and Clinical Medicine)
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
2
