患有功能障碍的患者中与高剂量塞法林相关的发作:一个病例报告
Kulwant Kingra1,2, Robert E Ariano3,4, Aditya Sharma1,2
1Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Journal of pharmacy practice
|March 12, 2025
概括
在患有功能障碍的患者中,不适当的塞法林剂量可能导致严重的神经毒性,包括发作. 这一案例凸显了剂量调整的必要性,以防止药物不良事件的发生.
科学领域:
- 药理学 药理学是指药理学的学科.
- 神经学 神经学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 塞法索林是一种常用于细菌感染的抗生素.
- 脑病变和发作是塞法林的潜在副作用,特别是在过量服用时.
- 功能障碍会影响塞法林的清除,增加毒性风险.
研究的目的:
- 强调调整功能受损患者的塞法林剂量的重要性.
- 报告一种由塞法林诱导的神经毒性病例和由于不适当的剂量而引起的发作.
主要方法:
- 一个老年女性患者的病例报告,患有尿路感染和黄金菌杆菌菌血症.
- 患者每4小时内静脉注射2克塞法林,剂量高于对其功能进行推的剂量 (每12小时2克).
- 记录了临床表现,治疗方案和患者的结果.
主要成果:
- 患者出现了急性妄,随后在3天高剂量塞法林治疗后出现了强力克隆性发作.
- 她的思维能力下降了,她最终转向了安慰护理.
- 结果表明,超治疗性塞法林剂量与神经毒性作用之间存在联系.
结论:
- 在患有功能障碍的患者中,过量服用塞法林导致严重的神经毒性和致命结局.
- 这一案例强调了对功能受损患者的塞法林药物监督和遵守剂量指南的必要性.
- 治疗药物监测可能有助于减轻塞法林诱导毒性的风险.
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