Sunday, January 13, 2008
Use of Amiodarone in a Patient With a Shellfish Allergy.
A 65-year-old achromatic color man with mild idiopathic hypertrophic
subaortic stenosis and normal left ventricular systolic office
underwent three-vessel coronary blood vessel conductor operating
theatre on.
He reported allergies to invertebrate and penicillin.
Almost two weeks later, the participant role was re-admitted with
hypotension and rectal bleeding requiring two units of packed red 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 multitude day, the patient’s gastrointestinal bleeding recurred and
7 U of PRBCs were transfused.
Two duodenal ulcers were found endoscopically, requiring laparotomy and
joint ligation of the ulcers.
The patient role remained hemodynamically stable for 3 days until he
developed atrial commotion with a 2:1 atrioventricular conduction at a
rate of 140 beats per hour with hypotension.
Synchronized electrical cardioversion at 100 J (J) and then 200 J
restored passage rhythm method of birth control.
Procainamide (500 mg) was given intravenously followed by a 2 mg/min
solution.
A subsequent echocardiogram revealed cardiomyopathy, and procainamide
was discontinued 3 days later.
Amiodarone hydrochloride is an antiarrhythmic bourgeois that contains
37.3% iodin and is contraindicated in patients with a known sensibility
to the drug. It has been our employment that patients with a seafood
allergy are also considered to be allergic to I and are entered as such
into the computerized participant role visibility.
When the stream patients’ amiodarone lodge was entered, the reckoner
flagged the magnitude as an allergic action.
The patients’ bodily function to mollusk was verified, but no
documented link was found in the literary study 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
