Objective: To explore the rescue and pharmaceutical care of psychotropic medication poisoning
so as to provide reference for clinical diagnosis and treatment. Methods: Diagnosis and treatment of poisoning caused by overdose of sertraline hydrochloride
risperidone and fluvoxamine maleate in a 13-year-old boy was reviewed
and the rescue and pharmacological care of psychiatric medication poisoning were analyzed. Clinicians and clinical pharmacists formulated treatment regimens according to the manifestations and metabolic characteristics of psychotropic medication poisoning
and jointly carried out pharmaceutical care to ensure the therapeutic effect of children. Results: The child developed multiple system symptoms such as dizziness
vomiting
convulsions
cardiac insufficiency and respiratory failure
and was hospitalized. After hospitalization
the child received treatment including gastric lavage
assisted ventilation with respirator and blood purification. The blood drug concentration decreased
spontaneous breathing resumed
and neurological symptoms such as convulsions and tremors were improved. Conclusion: There is a life-threatening risk of psychotropic medication poisoning in children
which requires active intervention and treatment
and the participation of clinicians and clinical pharmacists in pharmaceutical care can better ensure the treatment effect.
关键词
精神类药物盐酸舍曲林利培酮马来酸氟伏沙明中毒连续肾脏替代治疗药学监护
Keywords
psychiatric medicationsertraline hydrochloriderisperidonefluvoxamine maleatepoisoningcontinuous renal replacement therapypharmaceutical care