Publication
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline
| dc.contributor.author | Coutinho Cruz, M | |
| dc.contributor.author | Sá Carvalho, R | |
| dc.contributor.author | Modas Daniel, P | |
| dc.contributor.author | Cruz Ferreira, R | |
| dc.date.accessioned | 2018-03-09T16:11:18Z | |
| dc.date.available | 2018-03-09T16:11:18Z | |
| dc.date.issued | 2017-10 | |
| dc.description.abstract | Anaphylaxis is life-threatening and should be addressed urgently. Its treatment is not without side effects and an accurate diagnosis must be made to prevent potential harm by the wrongful use of medication. A 46-year-old woman with hypertension treated with angiotensin converting enzyme inhibitor (ACEI) presented to the emergency department with non-pitting oedema of the face and limbs. A hasty diagnosis of anaphylaxis was made and intravenous adrenaline administered. The patient developed a myocardial infarction caused by coronary artery spasm that required invasive intervention. The initial clinical picture was resolved when the ACEI was discontinued unmasking a case of ACEI-induced angioedema. The correct differentiation of these two apparently similar clinical entities is of utmost importance in the management of emergency department patients. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Rom J Anaesth Intensive Care. 2017 Oct;24(2):163-166. | pt_PT |
| dc.identifier.doi | 10.21454/rjaic.7518.242.crz | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/2939 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.subject | HSM CAR | pt_PT |
| dc.subject | ACEI-Induced Angioedema | pt_PT |
| dc.subject | Acute Myocardial Infarction | pt_PT |
| dc.subject | Adrenaline | pt_PT |
| dc.subject | Anaphylaxis | pt_PT |
| dc.title | A Rash Decision. The Hazards of the Wrongful Use of Adrenaline | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 166 | pt_PT |
| oaire.citation.issue | 2 | pt_PT |
| oaire.citation.startPage | 163 | pt_PT |
| oaire.citation.title | Romanian Journal of Anaesthesia and Intensive Care | pt_PT |
| oaire.citation.volume | 24 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |