Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/6877
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dc.contributor.authorTürkçüer, İbrahim-
dc.contributor.authorErdur, Bülent-
dc.contributor.authorSari, Hakan İsmail-
dc.contributor.authorYuksel, A.-
dc.contributor.authorTura, P.-
dc.contributor.authorYuksel, S.-
dc.date.accessioned2019-08-16T12:12:20Z-
dc.date.available2019-08-16T12:12:20Z-
dc.date.issued2009-
dc.identifier.issn0969-9546-
dc.identifier.urihttps://hdl.handle.net/11499/6877-
dc.identifier.urihttps://doi.org/10.1097/MEJ.0b013e32830a7567-
dc.description.abstractBACKGROUND: Biguanides pose a significant risk of morbidity, mortality and permanent sequelae secondary to prolonged periods of hypoglycaemia. OBJECTIVES: To investigate the treatment of massive metformin overdose associated with lactic acidosis. CASE REPORT: We present the case of a 30-year-old woman, who attempted to commit suicide by ingesting an 85-g massive metformin overdose associated with severe lactic acidosis, which we treated by performing prolonged haemodialysis with bicarbonate and plasma exchange. CONCLUSION: For the maximum elimination of metformin, extended haemodialysis is required and the treatment of the accompanying metabolic acidosis with bicarbonate is important for the effectiveness of the treatment. Patients benefit much more from the treatment of combined haemodialysis with plasma exchange. © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.en_US
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of Emergency Medicineen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHaemodialysisen_US
dc.subjectIntoxicationen_US
dc.subjectMetforminen_US
dc.subjectPlasma exchangeen_US
dc.subjectactivated carbonen_US
dc.subjectamylaseen_US
dc.subjectatropineen_US
dc.subjectbicarbonateen_US
dc.subjectcreatine kinaseen_US
dc.subjectcreatinineen_US
dc.subjectglucoseen_US
dc.subjectlactic aciden_US
dc.subjectmetforminen_US
dc.subjectmyoglobinen_US
dc.subjectphosphorusen_US
dc.subjectpotassiumen_US
dc.subjectsodium chlorideen_US
dc.subjectantidiabetic agenten_US
dc.subjectadulten_US
dc.subjectagitationen_US
dc.subjectamylase blood levelen_US
dc.subjectarterial pHen_US
dc.subjectarticleen_US
dc.subjectbicarbonate blood levelen_US
dc.subjectblood pHen_US
dc.subjectblood pressureen_US
dc.subjectblurred visionen_US
dc.subjectbody temperatureen_US
dc.subjectbreathing rateen_US
dc.subjectcase reporten_US
dc.subjectcentral venous pressureen_US
dc.subjectconfusionen_US
dc.subjectcreatine kinase blood levelen_US
dc.subjectcreatinine blood levelen_US
dc.subjectdialysis catheteren_US
dc.subjectdisease associationen_US
dc.subjectdrug intoxicationen_US
dc.subjectdrug megadoseen_US
dc.subjectdrug overdoseen_US
dc.subjectemergency warden_US
dc.subjectexchange blood transfusionen_US
dc.subjectfemaleen_US
dc.subjectgastric suctionen_US
dc.subjectgeneral condition improvementen_US
dc.subjectGlasgow coma scaleen_US
dc.subjectglucose blood levelen_US
dc.subjecthemodialysisen_US
dc.subjecthospital dischargeen_US
dc.subjecthumanen_US
dc.subjecthypoglycemiaen_US
dc.subjecthypotensionen_US
dc.subjectintensive care uniten_US
dc.subjectlactate blood levelen_US
dc.subjectlactic acidosisen_US
dc.subjectleukocyte counten_US
dc.subjectmental health careen_US
dc.subjectoxygen blood levelen_US
dc.subjectoxygen saturationen_US
dc.subjectoxygen therapyen_US
dc.subjectpatient monitoringen_US
dc.subjectphosphate blood levelen_US
dc.subjectplasmapheresisen_US
dc.subjectpotassium blood levelen_US
dc.subjectpriority journalen_US
dc.subjectpsychologic assessmenten_US
dc.subjectpublic hospitalen_US
dc.subjectpulse rateen_US
dc.subjectsinus bradycardiaen_US
dc.subjectstomach lavageen_US
dc.subjectsuicideen_US
dc.subjecttreatment durationen_US
dc.subjecturea nitrogen blood levelen_US
dc.subjectvital signen_US
dc.subjectvomitingen_US
dc.subjectintoxicationen_US
dc.subjectrenal replacement therapyen_US
dc.subjectsuicide attempten_US
dc.subjectAcidosis, Lacticen_US
dc.subjectAdulten_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectHypoglycemic Agentsen_US
dc.subjectOverdoseen_US
dc.subjectPlasma Exchangeen_US
dc.subjectRenal Dialysisen_US
dc.subjectSuicide, Attempteden_US
dc.titleSevere metformin intoxication treated with prolonged haemodialyses and plasma exchangeen_US
dc.typeArticleen_US
dc.relation.journalEuropean Journal of Emergency Medicineen_US
dc.identifier.volume16en_US
dc.identifier.issue1en_US
dc.identifier.startpage11en_US
dc.identifier.endpage13en_US
dc.authorid0000-0001-8342-4615-
dc.identifier.doi10.1097/MEJ.0b013e32830a7567-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.pmid18931616en_US
dc.identifier.scopus2-s2.0-65849443467en_US
dc.identifier.wosWOS:000262844600003en_US
dc.identifier.scopusqualityQ2-
dc.ownerPamukkale University-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.grantfulltextnone-
item.openairetypeArticle-
crisitem.author.dept14.02. Internal Medicine-
crisitem.author.dept14.02. Internal Medicine-
crisitem.author.dept14.02. Internal Medicine-
crisitem.author.dept14.02. Internal Medicine-
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
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