Opiate Withdrawal Complicated by Tetany and Cardiac Arrest
Joint Authors
Shabarek, Nehad
Kugasia, Irfanali R.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Patients with symptoms of opiate withdrawal, after the administration of opiate antagonist by paramedics, are a common presentation in the emergency department of hospitals.
Though most of opiate withdrawal symptoms are benign, rarely they can become life threatening.
This case highlights how a benign opiate withdrawal symptom of hyperventilation led to severe respiratory alkalosis that degenerated into tetany and cardiac arrest.
Though this patient was successfully resuscitated, it is imperative that severe withdrawal symptoms are timely identified and immediate steps are taken to prevent catastrophes.
An easier way to reverse the severe opiate withdrawal symptom would be with either low dose methadone or partial opiate agonists like buprenorphine.
However, if severe acid-base disorder is identified, it would be safer to electively intubate these patients for better control of their respiratory and acid-base status.
American Psychological Association (APA)
Kugasia, Irfanali R.& Shabarek, Nehad. 2014. Opiate Withdrawal Complicated by Tetany and Cardiac Arrest. Case Reports in Critical Care،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-461229
Modern Language Association (MLA)
Kugasia, Irfanali R.& Shabarek, Nehad. Opiate Withdrawal Complicated by Tetany and Cardiac Arrest. Case Reports in Critical Care No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-461229
American Medical Association (AMA)
Kugasia, Irfanali R.& Shabarek, Nehad. Opiate Withdrawal Complicated by Tetany and Cardiac Arrest. Case Reports in Critical Care. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-461229
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461229