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Phenelzine poisoning
Authors:F X BREHENY  MB  BCh  BAO  FFARCSI  FFARACS    G J DOBB  MSc MB  BS  MRCP  FFARCS  G M CLARKE  MB  BS  FFARCS  FFARACS
Institution:Senior Registrar, Royal Perth Hospital, Perth, Western Australia, 6001.;Specialist in Intensive Care, Royal Perth Hospital, Perth, Western Australia, 6001.;Director of Intensive Care, Royal Perth Hospital, Perth, Western Australia, 6001.
Abstract:A 46-year-old female with severe phenelzine poisoning was managed successfully by alpha blockade and fluid loading, with the aid of invasive haemodynamic monitoring. The pathophysiology was documented, showing elevated plasma and urinary catecholamines, cardiovascular abnormalities and a contracted blood volume. Most of these changes were reversed following treatment.
Keywords:Ataractics            monoamine oxidase inhibitors              Intensive care  
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