Review article
https://doi.org/10.26800/LV-144-supl3-11
Inadvertent intravenous administration of enteral feeding: pathophysiology and prevention
Ivan Dželalija
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, KBC Split
Hrvoje Vučemilović
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, KBC Split
Supplements: 00d_SADRZAJ.pdf
Abstract
After discharge of 55-year-old patient from the Intensive care unit, enteral feeding was inadvertently administered intravenously at the hospital ward resulting in a severe deterioration of the patient’s cardiorespiratory status, which was manifested by tachydyspnea and sweating with tachycardia, hypotension, and hypoxia. After readmission, the patient’s condition stabilized again after four days of intensive care. He was treated with oxygen therapy, crystalloid solutions and stimulation of diuresis, antibiotic and corticosteroid therapy along with proton pump inhibitors. In contrast, the patient’s condition did not require mechanical ventilation or inotropic support. This case demonstrates the need for ongoing education of medical personnel to prevent such cases in the future.
Keywords
ENTERAL NUTRITION – adverse effects, history, standards; INFUSION, INTRAVENOUS – adverse effects; INTENSIVE CARE UNITS; RISK MANAGEMENT
Hrčak ID:
284190
URI
Publication date:
25.9.2022.
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