Multiple organ failure due to taking 600 antihypertensive pills

Quang NinhA 41-year-old man with a history of adrenal insufficiency, hypertension, gout, Bai Chay hospital emergency room in a state of lethargy, purple veins all over his body.

Doctor Le Tien Dung, Department of Intensive Care, Bai Chay Hospital, on July 2, said that the patient was hospitalized in critical condition, his blood pressure dropped deeply, and the test results showed multiple organ failure and respiratory failure. His family said that before that, he had taken 600 antihypertensive pills including coversyl 5mg (Perindopril 5mg) and coveram 5/5mg (Amlodipine 5mg + Perindopril 5mg).

Doctors quickly implemented aggressive resuscitation measures such as intravenous fluids, vasopressors, endotracheal intubation, mechanical ventilation, toxic removal, laxatives, high-dose insulin regimen, infusion. Intravenous calcium…

“But the condition of the disease is still critical and progressing seriously, blood pressure drops deeply,” emphasized the doctor.

Doctors of Bai Chay hospital consulted with doctors of Bach Mai Poison Control Center, applied high techniques for patients such as artificial heart and lung (ECMO), continuous dialysis, and placed arterial catheters for blood monitoring. Continuous blood pressure, daily noninvasive hemodynamic assessment by USCOM…

After 5 days of intensive treatment, the patient was awake, the function of organs in the body improved markedly. On July 2, the patient recovered well and was discharged from the hospital.

According to Dr. Dung, coversyl and coveram are drugs prescribed in the treatment of hypertension. When used in an overdose, it will cause side effects such as dizziness, dizziness, fatigue, low blood pressure… In this case, this patient was acutely poisoned by taking drugs in large quantities (600 antihypertensive pills) causing The body is heavily poisoned, reducing myocardial contractility, causing circulatory failure, respiratory failure, progression of multi-organ failure and the risk of death.

Therefore, for antihypertensive drugs that need to be taken as indicated, absolutely do not buy and drink by yourself.

The patient was treated with high technology – ECMO artificial heart and lung. Image: Hospital provides

Thuy An


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