Saturday, October 27, 2007
Use of Amiodarone in a Patient With a Shellfish Allergy
A 65-year-old achromatic colour man with mild idiopathic hypertrophic subaortic stenosis and normal left ventricular systolic procedure underwent three-vessel coronary blood vessel conductor operating theatre on.
He reported allergies to mollusk and penicillin.
Almost two weeks later, the affected role was re-admitted with hypotension and rectal bleeding requiring two units of packed red blood line cells (PRBCs) and IV hydration.
Enteric- coated aspirin (325 mg/d) was discontinued.
His other medications were metoprolol 25 mg b.i.d., digoxin 0.25 mg/d, furosemide 40 mg/d, potassium 20 mEq/d, Amaryl 2 mg/d and nystatin dangling q.i.d.
The move day, the patient’s gastrointestinal bleeding recurred and 7 U of PRBCs were transfused.
Two duodenal ulcers were found endoscopically, requiring laparotomy and fibrous joint ligation of the ulcers.
The case remained hemodynamically stable for 3 days until he developed atrial cardiac arrhythmia with a 2:1 atrioventricular conduction at a rate of 140 beats per time unit with hypotension.
Synchronized electrical cardioversion at 100 J (J) and then 200 J restored bodily cavity inflection.
Procainamide (500 mg) was given intravenously followed by a 2 mg/min extract.
A subsequent echocardiogram revealed cardiomyopathy, and procainamide was discontinued 3 days later.
Amiodarone hydrochloride is an antiarrhythmic causal agent that contains 37.3% tincture and is contraindicated in patients with a known sensitivity to the drug. It has been our implementation that patients with a seafood allergy are also considered to be allergic to iodin and are entered as such into the computerized case cross section.
When the course patients’ amiodarone artistic style was entered, the machine flagged the organization as an allergic physical phenomenon.
The patients’ chemical change to invertebrate was verified, but no documented link was found in the profession between these allergies.
This is a part of article Use of Amiodarone in a Patient With a Shellfish Allergy Taken from "Generic Amaryl (Glimepiride) Information" Information Blog
Labels: pharmacology
