Be Aware of Critical Drugs in Emergency Departments: An Extreme Iatrogenic Insulin Overdose via Subcutaneous and Intramuscular Routes

Basit Öğe Kaydı
dc.authoridVural, Sevilay/0000-0002-1722-7987
dc.authoridEroğlu, Oğuz/0000-0001-7033-8566
dc.contributor.authorCoşkun, Figen
dc.contributor.authorVural, Sevilay
dc.contributor.authorEroğlu, Oğuz
dc.contributor.authorCömertpay, Ertan
dc.contributor.authorDurmaz, Senay Arıkan
dc.date.accessioned2025-01-21T16:36:06Z
dc.date.available2025-01-21T16:36:06Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractIntroduction: Insulin is a highly used parenteral medication in emergency departments. Although most severe insulin overdoses occur as suicide attempts, medication errors can be the reason. We aimed to highlight the potential medication errors in emergency departments due to the poor control of critical drugs like insulin and the similarities between the brand names of drugs, as we experienced during this case. Case Report: We present a 75-year-old diabetic woman with an extreme insulin overdose. A total of 3000 UI of insulin was administered by subcutaneous and intramuscular routes. She developed typical and atypical episodes of hypoglycemia requiring intravenous dextrose, a high-calorie diet, and glucagon administration. Almost all of the classic side effects of glucagon occurred during her intensive care unit follow-up. She recovered without any sequela or recurrence of hypoglycemia at the end of 5 days of admission. Conclusion: Insulin overdose can be a life-threatening condition by causing hypoglycemia. Albeit rare, insulin overdose can occur as a medication error in hospitals. To prevent such incidents for emergency departments, the medication errors should be objectively laid out, and proactive strategies should be integrated without adversely affecting acute care.
dc.identifier.doi10.33706/jemcr.834296
dc.identifier.endpage40
dc.identifier.issn2149-9934
dc.identifier.issue2
dc.identifier.startpage37
dc.identifier.urihttps://doi.org/10.33706/jemcr.834296
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24255
dc.identifier.volume12
dc.identifier.wosWOS:000749551800002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherEmergency Medicine Physicians Assoc Turkey
dc.relation.ispartofJournal of Emergency Medicine Case Reports
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectinsulin; overdose; misadministration; critical drugs; emergency department; medication error
dc.titleBe Aware of Critical Drugs in Emergency Departments: An Extreme Iatrogenic Insulin Overdose via Subcutaneous and Intramuscular Routes
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Tam Metin/Full Text
Boyut:
671.84 KB
Biçim:
Adobe Portable Document Format
İndir

Koleksiyon

WOS İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
Makale Koleksiyonu