INTRAVASCULAR SPILL OF HYPEROSMOLAR UREA DURING INDUCED MIDTRIMESTER ABORTION
Intravascular spill of hypertonic sodium chloride and the resultant serious and occasionally fatal consequences have been reported in association with induced midtrimester abortion. This report details 3 cases of intravascular spill of hyperosmolar urea. Although urea may pose less concern, because...
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Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1979-01, Vol.53 (1), p.127-130 |
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creator | Kovasznay, Beatrice M Burkman, Ronald T Atienza, Milagros F King, Theodore M |
description | Intravascular spill of hypertonic sodium chloride and the resultant serious and occasionally fatal consequences have been reported in association with induced midtrimester abortion. This report details 3 cases of intravascular spill of hyperosmolar urea. Although urea may pose less concern, because of its ability to readily cross cell membranes and its action as an osmotic diuretic, inadvertent intravascular spill can produce symptoms that include nausea, headache, sensations of warmth, and intense uterine cramping. In addition, abnormal blood pigments may occasionally be noted in the urine. Treatment includes intravenous hydration, careful monitoring of fluid/electrolyte balance and renal function, and avoiding the use of oxytocic agents. |
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This report details 3 cases of intravascular spill of hyperosmolar urea. Although urea may pose less concern, because of its ability to readily cross cell membranes and its action as an osmotic diuretic, inadvertent intravascular spill can produce symptoms that include nausea, headache, sensations of warmth, and intense uterine cramping. In addition, abnormal blood pigments may occasionally be noted in the urine. 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This report details 3 cases of intravascular spill of hyperosmolar urea. Although urea may pose less concern, because of its ability to readily cross cell membranes and its action as an osmotic diuretic, inadvertent intravascular spill can produce symptoms that include nausea, headache, sensations of warmth, and intense uterine cramping. In addition, abnormal blood pigments may occasionally be noted in the urine. Treatment includes intravenous hydration, careful monitoring of fluid/electrolyte balance and renal function, and avoiding the use of oxytocic agents.</description><subject>Abortion, Induced - adverse effects</subject><subject>Adult</subject><subject>Blood Urea Nitrogen</subject><subject>Blood Vessels</subject><subject>Diuresis</subject><subject>Female</subject><subject>Headache - chemically induced</subject><subject>Humans</subject><subject>Infusions, Parenteral</subject><subject>Muscle Cramp - chemically induced</subject><subject>Osmolar Concentration</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Second</subject><subject>Urea - adverse effects</subject><subject>Urea - therapeutic use</subject><subject>Uterus - drug effects</subject><subject>Water-Electrolyte Balance</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotUNlKw0AUHcStVv_Ah_mBwMydJZnHmKTtQJYySUSfQpYJVVMsSUvx743Uh8vZ4MC5V2hBPZc5wNjbNVoQAspxPc7v0cM0fRJCqFTsDt26cqawQIlOC-O_-nlQxr7B-VbHMc5WePO-jUyWJ9mfW5rIx2FpdLrGOg3LIApxosPC6CTKi8hg_yUzhc7SR3TT18Nkn_5xicpVVAQbJ87WOvBj50ClkE7LW2KhB8GZpapvPdZAJwQDzru-EXUnlPQ6SrnqPQUdNC0DICCACSaUkGyJni-9h1Ozt111GD_29fhTXVbNMb_E5-_haMfpazid7VjtbD0cd9X8BCJBEIcqVxE6K2c-kOwXc1BRNQ</recordid><startdate>197901</startdate><enddate>197901</enddate><creator>Kovasznay, Beatrice M</creator><creator>Burkman, Ronald T</creator><creator>Atienza, Milagros F</creator><creator>King, Theodore M</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>197901</creationdate><title>INTRAVASCULAR SPILL OF HYPEROSMOLAR UREA DURING INDUCED MIDTRIMESTER ABORTION</title><author>Kovasznay, Beatrice M ; Burkman, Ronald T ; Atienza, Milagros F ; King, Theodore M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1656-c4c0e2f2543e19fc83b2d553244dfb5ad5968d1149f892d2bc322025235359563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Abortion, Induced - adverse effects</topic><topic>Adult</topic><topic>Blood Urea Nitrogen</topic><topic>Blood Vessels</topic><topic>Diuresis</topic><topic>Female</topic><topic>Headache - chemically induced</topic><topic>Humans</topic><topic>Infusions, Parenteral</topic><topic>Muscle Cramp - chemically induced</topic><topic>Osmolar Concentration</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Second</topic><topic>Urea - adverse effects</topic><topic>Urea - therapeutic use</topic><topic>Uterus - drug effects</topic><topic>Water-Electrolyte Balance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kovasznay, Beatrice M</creatorcontrib><creatorcontrib>Burkman, Ronald T</creatorcontrib><creatorcontrib>Atienza, Milagros F</creatorcontrib><creatorcontrib>King, Theodore M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kovasznay, Beatrice M</au><au>Burkman, Ronald T</au><au>Atienza, Milagros F</au><au>King, Theodore M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>INTRAVASCULAR SPILL OF HYPEROSMOLAR UREA DURING INDUCED MIDTRIMESTER ABORTION</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1979-01</date><risdate>1979</risdate><volume>53</volume><issue>1</issue><spage>127</spage><epage>130</epage><pages>127-130</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>Intravascular spill of hypertonic sodium chloride and the resultant serious and occasionally fatal consequences have been reported in association with induced midtrimester abortion. This report details 3 cases of intravascular spill of hyperosmolar urea. Although urea may pose less concern, because of its ability to readily cross cell membranes and its action as an osmotic diuretic, inadvertent intravascular spill can produce symptoms that include nausea, headache, sensations of warmth, and intense uterine cramping. In addition, abnormal blood pigments may occasionally be noted in the urine. Treatment includes intravenous hydration, careful monitoring of fluid/electrolyte balance and renal function, and avoiding the use of oxytocic agents.</abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>760012</pmid><tpages>4</tpages></addata></record> |
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issn | 0029-7844 1873-233X |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Abortion, Induced - adverse effects Adult Blood Urea Nitrogen Blood Vessels Diuresis Female Headache - chemically induced Humans Infusions, Parenteral Muscle Cramp - chemically induced Osmolar Concentration Pregnancy Pregnancy Trimester, Second Urea - adverse effects Urea - therapeutic use Uterus - drug effects Water-Electrolyte Balance |
title | INTRAVASCULAR SPILL OF HYPEROSMOLAR UREA DURING INDUCED MIDTRIMESTER ABORTION |
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