. 2017; 4(2): 77-79 | |||
Hemodiyalize Yanıt Veren Ağır Valproik Asit ZehirlenmesiAli Ertuğ Arslanköylü1, Mehmet Alakaya1, Esra Akyılmaz2, Yalçın Çelik2, Ali Delibaş31Mersin Üniversitesi Tıp Fakültesi Çocuk Yoğun Bakım Bilim Dalı, Mersin, Türkiye2Mersin Üniversitesi Tıp Fakültesi Çocuk Sağlığı Ve Hastalıkları Anabilim Dalı, Mersin, Türkiye 3Mersin Üniversitesi Tıp Fakültesi Çocuk Nefroloji Bilim Dalı, Mersin, Türkiye Valproik asit epilepsi hastalarında yaygın olarak kullanılmakta ve terapötik aralığının dar olması nedeniyle kolaylıkla zehirlenmelere yol açabilmektedir. Burada valproik asit zehirlenmesinde hemodiyalizin etkili olduğu bir çocuk olgu sunulmuştur. Severe Valproic Acid Intoxication Responds To HemodıalysısAli Ertuğ Arslanköylü1, Mehmet Alakaya1, Esra Akyılmaz2, Yalçın Çelik2, Ali Delibaş31Mersin University Faculty Of Medicine Department Of Pediatric İntensive Care Unit, Mersin, Turkey2Mersin University Faculty Of Medicine Department Of Pediatrics, Mersin, Turkey 3Mersin University Faculty Of Medicine Department Of Pediatric Nephrolojy, Mersin, Turkey Valproic acid is a commonly used antiepileptic drug which causes intoxication easily due to its narrow therapeutic window. Here we present a chıld with hemodialysisin valproic acid poisoining.Fourteen years old male patient with epilepsy and mental motor reatardation admitted to pediatric intensive care unit because of valproic acid intoxication. Valproic acid plasma level was 710 µg/ml. The patient’s vital signs was stable and decrease was observed in the valproic acid and ammonia levels with supportive treatment at the beginning. In the thirth day of the admission hemodynamic and mental status of the patient deteriorated, plasma ammonia and lactate levels elevated thats why we decided to perform hemodialysis. After hemodialysis the patient’s hemodynamic status and mental function improved in conjunction with the reduction in valproic acid, ammonia and lactate levels. And he was transferred to pediatric ward. Ali Ertuğ Arslanköylü, Mehmet Alakaya, Esra Akyılmaz, Yalçın Çelik, Ali Delibaş. Severe Valproic Acid Intoxication Responds To Hemodıalysıs. . 2017; 4(2): 77-79 Sorumlu Yazar: Mehmet Alakaya, Türkiye |
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