American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
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Am J Health Syst Pharm · Aug 2017
Case ReportsTreatment of pulmonary embolism with argatroban and ultrasound-assisted catheter-directed thrombolysis with alteplase in a patient with heparin-induced thrombocytopenia.
Successful ultrasound-assisted catheter-directed thrombolysis (USAT) with low-dose alteplase and argatroban in a patient with bilateral pulmonary embolism (PE) secondary to heparin-induced thrombocytopenia (HIT) is reported. ⋯ A woman with HIT and bilateral PE was successfully treated with the combination of argatroban and USAT with alteplase.
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Am J Health Syst Pharm · Jul 2017
Case ReportsHyponatremia induced by hyperinsulinemia-euglycemia therapy.
A case of symptomatic hyponatremia induced by hyperinsulinemia-euglycemia (HIE) therapy is reported. ⋯ A woman who overdosed on amlodipine, metoprolol tartrate, and isosorbide mononitrate was treated with HIE therapy and developed symptomatic hyponatremia. Hyponatremia resolved after administration of dextrose with sodium bicarbonate infusion and 3% sodium chloride infusion and cessation of HIE therapy.
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Am J Health Syst Pharm · Jul 2017
ReviewNebulized opioids for the palliation of dyspnea in terminally ill patients.
The use of nebulized opioids for the palliation of dyspnea in terminally ill patients is reviewed. ⋯ Nebulized opioids may provide subjective relief of dyspnea in terminally ill patients with mild-to-moderate adverse effects.