Alkaline Diuresis as Treatment for 2,4-D Dimethylamine Herbicide Intoxication
  • Apolonia Berenika Badu
    Bajawa Regional General Hospital, Ngada, East Nusa Tenggara, Indonesia
  • Ade Ajeng Cempakadewi
    Bajawa Regional General Hospital, Ngada, East Nusa Tenggara, Indonesia https://orcid.org/0000-0003-0967-6165
  • Brigitta Marcia Budihardja
    Bajawa Regional General Hospital, Ngada, East Nusa Tenggara, Indonesia https://orcid.org/0000-0003-3468-6314
  • Anselmus Ake
    Bajawa Regional General Hospital, Ngada, East Nusa Tenggara, Indonesia

Keywords

Herbicide intoxication, 2,4-D dimethylamine, alkaline diuresis, chlorophenoxy

Abstract

Acute intoxication with 2,4-D dimethylamine is rare, often fatal and can cause signs and symptoms in different organ systems. This case report describes the effectiveness of alkaline diuresis as a life-saving treatment for chlorophenoxy intoxication, especially in healthcare facilities without access to haemodialysis. A patient had attempted suicide by ingesting 2,4-D dimethylamine, with toxic effects on the central and peripheral nervous systems, and the gastrointestinal and respiratory systems. However, she significantly improved after alkaline diuresis, accompanied by resuscitation, decontamination of the gastrointestinal system, and supportive therapies.

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    Published: 2022-01-19
    Issue: 2022: Vol 9 No 1 (view)


    How to cite:
    1.
    Badu AB, Cempakadewi AA, Budihardja BM, Ake A. Alkaline Diuresis as Treatment for 2,4-D Dimethylamine Herbicide Intoxication. EJCRIM 2022;9 doi:10.12890/2022_003126.