ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Intoxication Of Sustained-released Verapamil: A Case Report
Dr. İclal ÖZDEMİR KOL,a Dr. Selma POLAT,a Dr. Fikret ÖZKAN,a Dr. Kenan KAYGUSUZ,a Dr. Mustafa GÖNÜLLÜa
aAnesteziyoloji ve Reanimasyon AD, Cumhuriyet Üniversitesi Tıp Fakültesi, SİVAS bTeşvikiye Sağlık Ocağı, YALOVA
We observed toxicity in a patient who had taken high doses of slow-release verapamil.
A 49 year-old female patient had ingested 25 tablets of verapamil (240 mg) with suicidal intentions. She presented with nausea and vomiting, hypotension, bradycardia. A reduced consciousness level was noted after 6 hours. She was admitted to our hospital 14 hours after presentation. We administered gastric lavage and active charcoal treatment before taking her to the intensive care unit. Due to an atrio-ventricular nodal block, a temporary pacemaker was inserted. She was treated for hypotension, bradycardia, hypocalcemia, pulmonary oedema, pleural effusion and hyperglycemia. She was discharged on day 14 when clinical and laboratory findings became normal.
In order to prevent long-term complications of slow-release verapamil intoxication, patients must be observed in the intensive care unit for a sufficiently long time.Keywords: Verapamil, poisoning, intensive careTurkiye Klinikleri J Med Sci 2005, 25:749-752
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