Innovative use of Intralipid in Critical Care Setting-Juniper Publishers
JUNIPER PUBLISHERS- OPEN ACCESS JOURNAL OF TOXICOLOGY Innovative use of Intralipid in Critical Care Setting Authored by Vikram Anumakonda Abstract A 42-year-old gentleman presented to hospital emergency department (ED), following a deliberate self-harm with an intentional overdose of 75mg Ramipril, 450mg Amlodipine and 10mg Penicillamine. His initial toxicology screen was negative for paracetamol, salicylate, alcohol or illicit drug. He had a single functioning left kidney, on background of hypertension, cysteinuria, chronic kidney disease (baseline creatinine 130150). On presentation to the resuscitation unit, he was normocardic (60/minute), hypotensive (88/41mmHg). His GCS was 15. He was oliguric. His preliminary blood tests revealed new onset acute kidney injury. His ECG showed normal sinus rhythm with a normal QTc. Blood gas analysis revealed compensated metabolic acidosis; pH and lactate were within normal limits, but his base exce...