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Journals / Turkish Journal of Gastroenterology / 2000 / Cilt: 11 - Sayı: 4

Sodyum-fosfat lavmanına bağlı fatal bir komplikasyon

A fatal complication of sodium-phosphate enema

Türker EGESEL
Bülent SİVRİ
Murat AŞIK
Bülent ALTUN
Yusuf BAYRAKTAR
Pages
338–340
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We wish to emphasize the importance of patient selection in the chronic use of hypertonic cathartics such as Fleet enema, which are commonly used bowel cleasing agents.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A fatal case related to rectal administration of sodium-phosphate (Fleet) enema is presented.
📊
Key Findings & Data:A 46-year-old female was admitted to our hospital with hepatic precoma .
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Conclusion & Impact:We wish to emphasize the importance of patient selection in the chronic use of hypertonic cathartics such as Fleet enema, which are commonly used bowel cleasing agents.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Lavman · Hipernatremi · Hipokalsemi

Abstract

A fatal case related to rectal administration of sodium-phosphate (Fleet) enema is presented. A 46-year-old female was admitted to our hospital with hepatic precoma . Following initial eualuation, an enema containing sodium phosphate (Fleet) was administered. This, rather than lactulose enema, was erroneously repeated and resulted in hyperphosphatemia, hypernatremia and hypocalcemia with a fatal outcome. We wish to emphasize the importance of patient selection in the chronic use of hypertonic cathartics such as Fleet enema, which are commonly used bowel cleasing agents.

Özet

Bu yazıda hastanemize hepatik prekoma tablosuyla başvuran ve sodyum fosfatlı lavman (Fleet enema) kullanımı sonucunda fatal seyirli hiperfosfatemi, hipernatremi ve hipokalsemi gelişen 46 yaşında bayan bir hasta sunulmuştur. Vakada sodyum fosfatlı lavman laktülozlu lavman yerine yanlışlıkla kullanılmıştır. Sodyum fosfatlı lavmanlar son yıllarda özellikle barsak temizliği için tercih edilmektedir. Ancak bu bileşiklerin kronik, yüksek dozda ve uygun olmayan hasta gruplarında kullanımı oldukça sakıncalıdır. Bu vaka nedeniyle sodyum fosfatlı bileşiklerin kullanılırken uygun hasta seçiminin yapılması gereğine dikkatleri çekmeyi amaçladık

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Cite This Article

EGESEL, T., SİVRİ, B., AŞIK, M., ALTUN, B., BAYRAKTAR, Y. (2000). Sodyum-fosfat lavmanına bağlı fatal bir komplikasyon. Turkish Journal of Gastroenterology, Cilt: 11 - Sayı: 4, 338–340. https://ajindex.com/articles/411252

References (1)

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