TY  - JOUR
PY  - 2003//
TI  - Severe mixed poisoning with diltiazem, potassium and magnesium: a case report
JO  - Przeglad Lekarski
A1  - Szpak, Dorota
A1  - Groszek, Barbara
A1  - Piotrowski, Wiesław
A1  - Scisłowski, Mariusz
SP  - 257
EP  - 261
VL  - 60
IS  - 4
N2  - We report the case of 52-year-old woman, who ingested 3.6 g of diltiazem, 16 g of potassium chloride and 6.5 g of magnesium, in a suicide attempt 4 hours before admission. She developed cardiorespiratory failure, with severe hypotonia and acute renal failure, in ECG third degree atrioventricular block was stated. The highest potassium concentration was 8.0 mmol/l, magnesium 2.15 mmol/l. As a result of multiple pharmacologic intervention, including intravenous fluids, calcium, glucagon, dopamine, dobutamine, norepinephrine, transvenous pacing and peritoneal dialysis (haemodynamic instability makes haemodialysis noneffective) the haemodynamic stabilization of cardiovascular system and normalization of potassium and magnesium concentration were achieved. The diltiazem concentration was measured using liquid chromatography, the result was 0.89 microgram/ml. She was discharged in a good clinical condition on day 26th.<p /> <p>Language: pl</p>
LA  - pl
SN  - 0033-2240
UR  - http://dx.doi.org/
ID  - ref1
ER  -