[Nebulized salbutamol as a possible cause of lactate acidosis in a patient with acute asthma]

Lise Lauritsen; Christian Sahl; Søren Thorsen

[Nebulized salbutamol as a possible cause of lactate acidosis in a patient with acute asthma]

Ugeskr Laeger. 2013 Jan 14;175(3):111-2.

[Article in Danish]

Authors

Lise Lauritsen¹, Christian Sahl, Søren Thorsen

Affiliation

¹ Kardiologisk og Endokrinologisk Afdeling, Hillerød Hospital, Dyrehavevej 29, 3400 Hillerød, Denmark. [email protected]

PMID: 23331938

Abstract

A 50-year-old man was in the emergency department treated for acute asthma with repeated doses of nebulized salbutamol according to guidelines, and as a result of this treatment he developed marked lactate acidosis. Lactate acidosis is not commonly listed as a side effect to nebulized salbutamol. House officers in the emergency department handling acute asthma should be aware of this paradox, though the condition may resolve in spite of continued treatment with salbutamol.

Publication types

Case Reports

MeSH terms

Acidosis, Lactic / blood
Acidosis, Lactic / chemically induced*
Acute Disease
Administration, Inhalation
Adrenergic beta-2 Receptor Agonists / administration & dosage
Adrenergic beta-2 Receptor Agonists / adverse effects*
Adrenergic beta-2 Receptor Agonists / therapeutic use
Albuterol / administration & dosage
Albuterol / adverse effects*
Albuterol / therapeutic use
Asthma / blood
Asthma / drug therapy
Humans
Male
Middle Aged
Nebulizers and Vaporizers
Treatment Outcome

Substances

Adrenergic beta-2 Receptor Agonists
Albuterol