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A Case of Acute on Chronic Salicylate Poisoned Elderly Patient with Early Utilization of Continuous Venovenous Hemodiafiltration

Other Title
조기 연속정맥정맥간혈액투석여과로 치료한 노인 환자의 급만성 아스피린 중독
Authors
이, 지숙  | 전, 우찬  | 민, 영기  | 류, 원현 | 정, 윤석  | 최, 상천
Citation
Korean journal of critical care medicine, 26(3). : 177-180, 2011
Journal Title
Korean journal of critical care medicine
ISSN
1229-48022234-3261
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.
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Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
Ajou Authors
민, 영기  |  이, 지숙  |  전, 우찬  |  정, 윤석  |  최, 상천
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