严重的hyponatraemia peripartum与奥梅普拉治疗相关的治疗
Adam Morton1,2
1Obstetric Medicine, Mater Health, Raymond Terrace, South Brisbane, Australia.
Obstetric medicine
|December 11, 2023
概括
严重的低血症 (低) 可能发生在使用像奥梅普拉这样的质子抑制剂的孕妇中. 医疗保健提供者应在怀孕期间监测这种罕见但严重的并发症.
科学领域:
- 产科和妇科 产科和妇科
- 临床药理学 临床药理学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 低血是怀孕期间经常发生的电解质障碍,与母亲和新生儿的不良结果有关.
- 质子抑制剂 (PPI) 通常用于胃食道逆流,在怀孕期间普遍存在.
- 在非孕妇患者使用PPI时,已有严重的低血的记录.
研究的目的:
- 为了呈现与怀孕期间使用欧梅普拉相关的严重孕产妇低血病例.
- 提高卫生专业人员对孕妇中这种潜在的PPI相关并发症的认识.
主要方法:
- 案例报告的呈现方式.
- 关于怀孕期间低血和PPI的相关医学文献的审查.
主要成果:
- 在最近接受过梅治疗后,发生了一例严重的母性低血症.
- 这突出了通常可用的非处方药的潜在不良影响.
结论:
- 医疗保健提供者必须对使用PPI的孕妇患者的严重低血症保持警.
- 由于PPI的广泛可用性和怀孕中逆流的高发病率,需要提高临床意识.
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
208
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
208
Antiepileptic Drugs: Potassium Channel Activators
184
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
184
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
153
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
153
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
298
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
298
Antihypertensive Drugs: Potassium-Sparing Diuretics
578
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
578
Drugs for Treatment of Constipation-Predominant IBS
176
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
176


