Pabich Samantha, Kleinschmidt Peter, Halfpap Joseph, Hess Jamie
Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Mayo Clin Proc Digit Health. 2023 Feb 18;1(1):28-30. doi: 10.1016/j.mcpdig.2023.01.002. eCollection 2023 Mar.
A patient with a known pheochromocytoma was admitted to the emergency department with hypertension and headache. Because of the disease rarity, the potential medication-disease interactions were not recognized. The patient received a dose of prochlorperazine to treat their headache. Prochlorperazine is a potential trigger of pheochromocytoma crisis. The patient developed worsening hypertension, pulmonary edema, and demand non-ST segment elevation myocardial infarction. In response, our health system has created a best-practice advisory within our electronic medical records that can alert a provider to interactions between medications and pheochromocytoma. We are looking to expand this practice to include other pathologies with dangerous medication interactions, and we recommend other health systems create similar initiatives.
一名已知患有嗜铬细胞瘤的患者因高血压和头痛被收入急诊科。由于该疾病罕见,潜在的药物 - 疾病相互作用未被识别。患者接受了一剂异丙嗪来治疗头痛。异丙嗪是嗜铬细胞瘤危象的潜在触发因素。患者出现了高血压恶化、肺水肿和非ST段抬高型心肌梗死。作为应对措施,我们的医疗系统在电子病历中创建了一项最佳实践建议,可提醒医护人员注意药物与嗜铬细胞瘤之间的相互作用。我们希望将这种做法扩展到包括其他具有危险药物相互作用的病症,并且我们建议其他医疗系统开展类似的举措。