We are initiating continuous albuterol for asthmatics in the ED (10 mg/hr for kids < 15kg, 15 mg/hr for > 15kg). I have had 2 kids, each about 18-20 months old, develop heart rates to 210-220/min with this treatment. Neither had SVT, both were early in the process of continuous (not prolonged therapy). Has anyone had this experience with younger asthmatics? Not sure if this is just bad luck or something we should include in protocol (continuous for 2 years and older only). Would appreciate any input.
Nationwide Children's Hospital
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