Özlem YİĞİT, Umut ÇAKIR, Can AKYOL, Neslihan SAYRAC, Ömer Faruk KARAKOYUN

Yanlışlıkla IV Epinefrin Uygulamasına Bağlı Ventriküler Disritmi

Bu olgu sunumunda, intramuskuler penisilin enjeksiyonu sonrası akut anaflaktik reaksiyon gelişen 38 yaşında bir erkek hasta sunulmuştur. Hastaya yanlışlıkla 0.5 mg (1:1000) epinefrin intravenoz olarak uygulanmış , sonrasında akut gelişen ciddi göğüs ağrısı ve EKG' de geniş kompleks taşikardi gözlenmiştir. Bu olgu ile, epinefrin İV yanlış doz uygulanmasının ortaya çıkardığı ventrikuler disritmiörneği ile anaflaksi için epinefrin uygulamasının potansiyel tehlikelerine dikkat çekmek amaçlanmaktadır.

Anahtar Kelimeler:

Anaflaksi, intravenöz epinefrin, ventriküler disritmi

Ventricular Dysrhythmia Caused By Inadvertent IV Epinephrine Administration

This case describes a 38-year-old man who presented with an acute anaphylactic reaction occurred after intramuscular penicillin injection. He was erroneously given 0.5 mg (1:1000) intravenous (IV) epinephrine and revealed severe chest pain with a wide complex tachycardia seen on ECG. This case is an example of ventricular dysrhythmia occurred following inadvertent IV administration of epinephrine and illustrates a potential danger when the medication dosed incorrectly for anaphylaxis.

Keywords:

Anaphylaxis, intravenous epinephrine, ventricular dysrhythmia,

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