三环类抗抑郁药过量伴儿茶酚胺抵抗性低血压患者应用血管紧张素 II 成功救治：1 例报告
A Patient With Tricyclic Antidepressant Overdose With Catecholamine-Resistant Hypotension Rescued With Angiotensin II: A Case Report.
机构信息
Jacqueline Ferdowsali, DNP, MSN, BSN, ACNPC-AG, is an assistant professor at the University of Nevada Reno. She is the track coordinator for the adult gerontology acute care nurse practitioner program. Her clinical practice is as an adult gerontology acute care nurse practitioner with a pulmonary and tele-medicine service. Kameron Ferdowsali, MD, is an intensivist at Peace Health Medical Center. He also manages a tele-medicine critical care service. He has vast experience treating individuals with shock states.
出版信息
Dimens Crit Care Nurs. 2020 May/Jun;39(3):140-144. doi: 10.1097/DCC.0000000000000414.
This case report explores the novel use of angiotensin II (Giapreza) for the treatment of vasodilation in the setting of a tricyclic overdose. The purpose of this case is to describe how the use of angiotensin II can improve hemodynamic parameters and result in a dose reduction of other catecholamine vasopressors in vasodilatory shock. The use of angiotensin II is new to clinical practice and has the potential to change outcomes for patients.
本病例报告探讨了血管紧张素 II（Giapreza）在三环类药物过量情况下用于治疗血管扩张的新用途。本病例的目的是描述血管紧张素 II 的使用如何改善血流动力学参数，并导致血管扩张性休克中其他儿茶酚胺血管加压药的剂量减少。血管紧张素 II 的使用在临床实践中是新的，有可能改变患者的结局。
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