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Management of an Oral Ingestion of Transdermal Fentanyl Patches : A Case Report and Literature Review
المؤلفون المشاركون
Hughes, Darrel W.
Terpolilli, Ralph
Faust, Andrew C.
المصدر
العدد
المجلد 2011، العدد 2011 (31 ديسمبر/كانون الأول 2011)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2011-05-12
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Purpose.
Fentanyl is available as a transdermal system for the treatment of chronic pain in opioid-tolerant patients; however, it carries a black box warning due to both the potency of the product and the potential for abuse.
In this report, we describe a case of transbuccal and gastrointestinal ingestion of fentanyl patches and the management of such ingestion.
Summary.
A 32-year-old man was brought to the emergency department (ED) via emergency medical services for toxic ingestion and suicide attempt.
The patient chewed and ingested two illegally purchased transdermal fentanyl patches.
In the ED, the patient was obtunded, dizzy and drowsy.
Initial vital signs showed the patient to be afebrile and normotensive with a heart rate of 63, respiratory rate of 16, and oxygen saturation of 100% on 2 liters nasal cannula after administration of 2 milligrams of intravenous naloxone.
The patient was treated with whole bowel irrigation and continuous intravenous naloxone infusion for approximately 48 hours without complications.
Conclusion.
Despite numerous case reports describing oral ingestion of fentanyl patches, information on the management of such intoxication is lacking.
We report successful management of such a case utilizing whole bowel irrigation along with intravenous push and continuous infusion naloxone.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Faust, Andrew C.& Terpolilli, Ralph& Hughes, Darrel W.. 2011. Management of an Oral Ingestion of Transdermal Fentanyl Patches : A Case Report and Literature Review. Case Reports in Medicine،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-476268
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Faust, Andrew C.…[et al.]. Management of an Oral Ingestion of Transdermal Fentanyl Patches : A Case Report and Literature Review. Case Reports in Medicine No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-476268
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Faust, Andrew C.& Terpolilli, Ralph& Hughes, Darrel W.. Management of an Oral Ingestion of Transdermal Fentanyl Patches : A Case Report and Literature Review. Case Reports in Medicine. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-476268
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-476268
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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