Description

A patient with theophylline intoxication may show a number of clinical and laboratory findings. The mortality rate of theophylline poisoning can be significant, so early recognition with initiation of appropriate therapy is essential.


 

Factors impacting the clinical features of the intoxication:

(1) age of the patient

(2) acute vs chronic intoxication

(3) severity of the intoxication

(4) comorbid conditions, especially in the elderly

 

Clinical findings may include:

(1) hypotension (more common with acute intoxications)

(2) atrial and/or ventricular arrhythmias

(3) nausea and vomiting (more common with acute intoxications)

(4) seizures

(5) respiratory failure

(6) myocardial infarction

 

Laboratory findings:

(1) metabolic acidosis (lactic acidosis, ketoacidosis)

(2) compensatory respiratory alkalosis

(3) hypokalemia (more common with an acute intoxication)

(4) hyperglycemia (more common with acute intoxications)

(5) leukocytosis (more common with acute intoxications)

(6) elevated serum theophylline levels

(7) hypophosphatemia

(8) hypomagnesemia

 


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