DOAJ Open Access 2023

An adolescent female with intentional ingestion of a large amount of metformin requiring extracorporeal membrane oxygenation and continuous renal replacement therapy

Kaila Lessner Lauren McKinney Ilana Anderson Chie-Youn Shih J. Bryan Carmody +1 lainnya

Abstrak

Acute overdose of metformin can show potentially fatal lactic acidosis. Management should be directed towards close monitoring of renal function and hemodynamics. Patients may require dialysis or extracorporeal membrane oxygenation in cases of hemodynamic instability. This case presents an adolescent with massive metformin ingestion estimated at 100 g leading to metformin-associated lactic acidosis and subsequent respiratory failure, cardiovascular collapse, and acute kidney injury. The complications were successfully managed with venoarterial extracorporeal membrane oxygenation, continuous renal replacement therapy, and mechanical ventilation.

Topik & Kata Kunci

Penulis (6)

K

Kaila Lessner

L

Lauren McKinney

I

Ilana Anderson

C

Chie-Youn Shih

J

J. Bryan Carmody

M

Meaghan Dominy

Format Sitasi

Lessner, K., McKinney, L., Anderson, I., Shih, C., Carmody, J.B., Dominy, M. (2023). An adolescent female with intentional ingestion of a large amount of metformin requiring extracorporeal membrane oxygenation and continuous renal replacement therapy. https://doi.org/10.22470/pemj.2023.00759

Akses Cepat

Lihat di Sumber doi.org/10.22470/pemj.2023.00759
Informasi Jurnal
Tahun Terbit
2023
Sumber Database
DOAJ
DOI
10.22470/pemj.2023.00759
Akses
Open Access ✓