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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
Taehan Chunghwanja Ŭihakhoe chi, 26(3):177-180, 2011
Journal Title
Taehan Chunghwanja Ŭihakhoe chi; Korean journal of critical care medicine; 대한중환자의학회지
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.
Keywords
continuous venovenous hemodiafiltration (CVVHDF)elderlypoisoningsalicylate
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
AJOU Authors
이, 지숙전, 우찬민, 영기정, 윤석최, 상천
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