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10.1016/j.ajem.2007.07.035 http://scihub22266oqcxt.onion/10.1016/j.ajem.2007.07.035 18410827!ä!18410827 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Emerg+Med 2008 ; 26 (4): 514.e1-3 Nephropedia Template TP {{tp|p=18410827|t=2008. An under-recognized complication of treatment of acute severe asthma |pdf=|usr=}}{{18410827}} gab.com Text An under-recognized complication of treatment of acute severe asthma JO: Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=18410827 #FOAvip A 39-year-old man presented to the emergency department (ED) in severe respiratory distress. He had a prior diagnosis of brittle asthma and had been admitted on several occasions but never previously ventilated. Therapy given in the first 3 hours of arrival included nebulized salbutamol (5 mg, x5), ipratropium bromide (0.5 mg), intravenous hydrocortisone (200 mg), and magnesium sulfate (2 g). His arterial blood gases continued to deteriorate. He was then given an intravenous bolus of salbutamol (250 microg) and heliox via facemask. His worsening status necessitated invasive ventilation. His hypercapnia and resultant respiratory acidosis improved rapidly, but there was a concurrent accumulation of lactic acid resulting in acidemia. This patient had lactic acidosis as a direct effect of administration of salbutamol. The development of hazardous salbutamol-induced toxicity in acute severe asthma is discussed. Twit Text FOAVip An under-recognized complication of treatment of acute severe asthma ????Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=18410827 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=18410827 #FOAvip English Wikipedia <ref>{{Cite pmid|18410827}}</ref> An under-recognized complication of treatment of acute severe asthma #MMPMID18410827 Creagh-Brown BC; Ball J Am J Emerg Med 2008[May]; 26 (4): 514.e1-3 PMID18410827show ga A 39-year-old man presented to the emergency department (ED) in severe respiratory distress. He had a prior diagnosis of brittle asthma and had been admitted on several occasions but never previously ventilated. Therapy given in the first 3 hours of arrival included nebulized salbutamol (5 mg, x5), ipratropium bromide (0.5 mg), intravenous hydrocortisone (200 mg), and magnesium sulfate (2 g). His arterial blood gases continued to deteriorate. He was then given an intravenous bolus of salbutamol (250 microg) and heliox via facemask. His worsening status necessitated invasive ventilation. His hypercapnia and resultant respiratory acidosis improved rapidly, but there was a concurrent accumulation of lactic acid resulting in acidemia. This patient had lactic acidosis as a direct effect of administration of salbutamol. The development of hazardous salbutamol-induced toxicity in acute severe asthma is discussed. |Acidosis, Lactic/*chemically induced/therapy[MESH] |Adult[MESH] |Albuterol/*adverse effects[MESH] |Anti-Asthmatic Agents/*adverse effects[MESH] |Asthma/*drug therapy/therapy[MESH] |Humans[MESH] |Male[MESH]An under-recognized complication of treatment of acute severe asthma (epmc).pdf DeepDyve Pubget Overpricing