Pentobarbital Toxicity after Self-Administration of Euthasol Veterinary Euthanasia Medication
Joint Authors
Katz, Kenneth
Crellin, Steven Jason
Source
Case Reports in Emergency Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-03
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Suicide attempt via sodium pentobarbital is uncommon.
A 48-year-old woman with a history of depression and prior suicide attempt was found unresponsive by her veterinarian spouse near a syringe containing pink solution.
Upon EMS’ arrival, the patient was experiencing apnea, hypoxemia, and miotic pupils; her blood glucose level measured 73 mg/dL.
She was bradycardic and administered atropine with transient improvement in heart rate and transported to an emergency department; 2 mg of intravenous naloxone was administered without effect.
She was endotracheally intubated via rapid sequence intubation.
Rapid urine drug screening detected both benzodiazepines and barbiturates.
The patient was transferred to an intensive care unit where she demonstrated a nearly absent radial pulse.
Emergent fasciotomy to the left forearm and carpal tunnel was performed for acute compartment syndrome; “Euthasol” had been self-administered into the antecubital fossa.
Expanded toxicological analysis via liquid chromatography/mass spectroscopy detected caffeine, atropine, 7-aminoclonazepam, phenytoin, citalopram, and naproxen.
The patient’s coma resolved over 48 hours and she was successfully extubated without complication.
Emergency physicians must closely monitor patients exposed to veterinary euthanasia agents who develop central nervous system and respiratory depression, hypothermia, bradycardia, hypotension, or skin injury.
Consultation with a regional poison center and medical toxicologist is recommended.
American Psychological Association (APA)
Crellin, Steven Jason& Katz, Kenneth. 2016. Pentobarbital Toxicity after Self-Administration of Euthasol Veterinary Euthanasia Medication. Case Reports in Emergency Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100731
Modern Language Association (MLA)
Crellin, Steven Jason& Katz, Kenneth. Pentobarbital Toxicity after Self-Administration of Euthasol Veterinary Euthanasia Medication. Case Reports in Emergency Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100731
American Medical Association (AMA)
Crellin, Steven Jason& Katz, Kenneth. Pentobarbital Toxicity after Self-Administration of Euthasol Veterinary Euthanasia Medication. Case Reports in Emergency Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100731
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100731