Infusion at home, 34-year-old female patient dies after a few hours

NGUYỄN LY |

Ho Chi Minh City - On February 25, Le Van Thinh Hospital said it had received a patient who self-infused fluids at home, although he was actively resuscitated, he still did not survive.

According to Le Van Thinh Hospital, patient D. N. H. P. (born in 1992, residing in Ho Chi Minh City) was recorded to have a history of intravenous fluids at home on the evening of February 23. At about 8:30 pm on the same day, the patient was infused intravenously with Glutathione solution by an outside-hospital nurse.

After about 1 hour and 30 minutes of intravenous fluids, the patient developed symptoms of chills and was injected with Adrenaline. However, the condition did not improve but worsened with symptoms of shortness of breath. The nurse then left to call for emergency support. When she returned, the patient had stopped breathing and turned purple.

At about 11:06 PM on the same day, the patient was brought to Le Van Thinh Hospital in a state of cardiac and respiratory arrest. Doctors recorded that the patient was in a deep coma, purple skin and mucous membranes, unable to catch pulse, blood pressure at 0, no breathing rate and SpO2 at 0%. Both pupils dilated, completely losing light reflexes.

Immediately upon admission, the on-duty team urgently deployed an intensive cardiopulmonary resuscitation procedure, including external chest compression, balloon ventilation to supply oxygen, endotracheal intubation to control airway and establishment of intravenous routes. Patients were given high-dose vasopressors, including Adrenaline, to stimulate the heart to function again.

However, after more than 40 minutes of intensive resuscitation, the patient showed no signs of natural circulatory recovery. Emergency measures did not bring results, and the patient was determined to have died extrahospitalized.

According to the hospital's initial assessment, the cause of the extrahospital death has not been clearly identified, but it is related to anaphylactic shock suspected to be due to drugs or intravenous fluids. The hospital has explained the situation to the family and at the same time notified the case to Cat Lai Ward Police to coordinate in receiving and handling according to their authority.

A hospital representative said that anaphylactic shock is a serious allergic reaction that can progress rapidly and be life-threatening if not treated promptly at a qualified medical facility.

Experts recommend that people should not arbitrarily infuse fluids at home, especially without the prescription and monitoring of a doctor, to avoid dangerous complications that may occur.

NGUYỄN LY
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