Pneumotox » Drug » Adrenaline (epinephrine)

Adrenaline (epinephrine)

3

Acute cardiomyopathy and/or hypertensive crisis and pulmonary edema are suggestive

Last update : 25/02/2016

II.a Pulmonary edema, noncardiogenic (NCPE)

2

II.d Pulmonary edema, cardiogenic

1

II.i Flash (fulminate) pulmonary edema

1

XI.b Chest pain (acute or subacute), lone or prominent

1

XI.d Metabolic acidosis (incl. lactic acidosis/-gap). May cause hyperpnea/dyspnea

1

XII.e Takotsubo (stress) cardiomyopathy

1

XII.f Cardiomyopathy (acute, subacute, chronic)

1

XII.g Coronary artery disease (acute) - Myocardial ischemia/infarction

2

XII.j Myocardial stunning

1

XII.l Cardiac arrhythmias or dysrhythmias (AF, VT, VF, TdP)

1

XII.t Torsades de pointe

1

XII.w Asystole

1

XII.af Coronary vasospasm - Vasospastic angina

1

XII.aq Wandering pacemaker

1

Diagnosing DIRD

1

Drug and radiation history

2

Drug singularity - Correct identification of the drug

3

Consistent timing of exposure v. onset of symptoms

4

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

5

Careful exlusion of another cause

6

Remission of symptoms with removal of drug

7

Recurrence with rechallenge (rarely advisable)

8

Causality assessment

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