一个非常糟糕的发型日:摄入米诺克西迪尔会引起心脏休克和心力衰竭
Sabin Tripathee1, Alexander Benyovszky1, Ruchi Devbhandari1
1Internal Medicine, Jefferson Einstein Montgomery Hospital, East Norriton, USA.
Cureus
|September 3, 2024
概括
局部用米诺克西迪尔是一种常见的脱发治疗方法,如果摄入,是危险的,导致严重的循环休克. 用液体和血管压缩剂及时治疗,可能包括米多德林,对于恢复至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 毒理学 毒理学 毒理学
- 心脏病学 心脏病学
背景情况:
- 米诺西迪尔是一种强大的血管扩张剂,历来用于高血压.
- 它现在主要用于局部治疗脱发症.
- 严重的不良反应与米诺西迪尔有关,包括心血管并发症.
研究的目的:
- 报告一个严重的循环休克和肺的病例,这是由于无意的局部氧化摄入.
- 为了强调摄入米诺克西迪尔的危险性.
- 讨论氧化毒性的管理策略.
主要方法:
- 一个年轻的女性无意中摄入米诺克西迪尔的案例报告.
- 对临床表现,管理和结果的审查.
- 关于米诺克西迪尔毒性和治疗的文献综述.
主要成果:
- 患者在摄入局部minoxidil后出现了不耐药的循环休克和急性肺.
- 需要进行积极的液体复苏和血管压缩器支持.
- 通过使用midodrine来减少IV血管压缩剂持续时间,患者的ICU停留时间被缩短了.
结论:
- 摄入局部米诺克西迪尔可以导致危及生命的循环休克和肺.
- 立即进行医疗干预,包括液体复苏和血管压缩剂至关重要.
- 通过减少长期输入静脉压缩剂治疗的需要,米多德林可能是管理严重病例的有益辅助剂.
相关概念视频
Heart Failure Drugs: Inotropic Agents
545
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
545
Antihypertensive Drugs: Vasodilators
492
Vasodilators, primarily affecting the smooth muscles within arterial and venous walls, are commonly used for hypertension treatment. Medications such as minoxidil and hydralazine primarily target arteries and arterioles, while sodium nitroprusside acts on arterioles and venules. Minoxidil, functioning as a prodrug, is metabolized by hepatic sulfotransferase into its active form, minoxidil sulfate, after oral administration. This metabolite binds to the sulfonylurea receptor (SUR) component of...
492
Blood Pressure Imbalances and Circulatory Shock
762
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
762
Vitamins
588
Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
588
Antianginal Drugs: Nitrates and β-Blockers
547
In cardiovascular health, antianginal drugs combat angina pectoris — a condition marked by chest pain owing to diminished blood flow to the heart.
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
547
Drug Delivery: Enteral Route
395
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
395


