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Title:Z zdravili povzročena elektrolitske motnje
Authors:ID Dovč, Ana (Author)
Files:.pdf PDF - Presentation file, download (161,45 KB)
MD5: EC8F27DB6BB61F1749ED9E720A954E9F
 
Language:Slovenian
Typology:1.02 - Review Article
Organization:Logo SFD - Slovenian Pharmaceutical Society
Abstract:Z zdravili povzročena prizadetost pljučnega intersticija je redek neželen učinek zdravil in predstavlja 3–5 % intersticijske pljučne patologije. Več kot 400 zdravil so povezali s tem neželenim učinkom, med njimi pa so najpogostejši antirevmatiki, onkološka zdravila in antiaritmiki. Klinična slika lahko zajema vse od asimptomatske bolezni do življenje ogrožajoče dihalne odpovedi. V zgodnjih vnetnih fazah bolezni so spremembe reverzibilne ob odtegnitvi povzročitelja ali s protivnetnim zdravljenjem. Napredovanje vnetja pa lahko vodi v fibrozo, ki je lahko progresivna. Dejavniki tveganja so starost, kajenje, znana intersticijska pljučna bolezen in obsevanje prsnega koša. Diagnosticiranje je zelo kompleksno in zajema izključitev infekcijskih vzrokov in z osnovno boleznijo povezane patologije. Zdravljenje temelji na odtegnitvi domnevnega povzročitelja, ob hujšem poteku pa tudi dolgotrajni uporabi sistemskih glukokortikoidov. V zadnjih letih so pogostejši vzrok za pljučne prizadetosti zaviralci imunskih nadzornih točk, ki predvsem pri pljučnem raku povzročajo pnevmonitis pogosteje kot druga zdravila.
Keywords:hiperkalemija, hipokalcemija, hipokalemija, hiponatremija, hipomagnezemija
Publication date:01.10.2025
Year of publishing:2025
Number of pages:str. 247-254
Numbering:Letn. 76, št. 4
PID:20.500.12556/DiRROS-27592 New window
UDC:615
ISSN on article:0014-8229
COBISS.SI-ID:262817539 New window
Note:Besedilo v slov.;
Publication date in DiRROS:13.02.2026
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Downloads:8
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Record is a part of a journal

Title:Farmacevtski vestnik : strokovno glasilo slovenske farmacije
Shortened title:Farm. vestn.
Publisher:Slovensko farmacevtsko društvo
ISSN:0014-8229
COBISS.SI-ID:3105794 New window

Secondary language

Language:English
Title:Drug-induced electrolyte disorders
Abstract:Drug-induced interstitial lung injury is a rare but important cause of interstitial lung disease and accounts for 3–5% of cases. Over 400 drugs – including antirheumatics, antineoplastics, and antiarrhythmics – have been associated with this condition. The clinical presentation ranges from asymptomatic disease to life-threatening respiratory failure. Early stages are potentially reversible with medicine discontinuation and anti-inflammatory therapy, but delayed recognition can lead to irreversible and potentially progressive fibrosis. Risk factors include older age, smoking, previous interstitial lung disease, and chest radiotherapy. Diagnosis is complex and is based on the exclusion of other causes, in particular infection and pulmonary disease. Management is based on discontinuation of the suspect causative agent and in more severe cases, on the prolonged use of systemic glucocorticosteroids. Immune checkpoint inhibitors have emerged as agrowing cause of drug-induced interstitial lung injury, with potentially higher incidence rates than conventional drugs, especially in lung cancer.
Keywords:hyperkalemia, hypocalcemia, hypokalemia, hyponatremia, hypomagnesemia


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