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I agree. Why would you check?

On Wed, Jul 6, 2016 at 4:56 PM, Simon P. Ros <[log in to unmask]> wrote:

> My question is - how would I know that my asthmatic patient has lactic
> acidosis ? I usually do not send any lab tests on my asthmatic patients.
>
> Sent from my iPhone
>
> > On Jul 6, 2016, at 3:51 PM, Tim Horeczko <[log in to unmask]> wrote:
> >
> > Great discussion item!
> >
> > Albuterol itself can cause a rise in lactate level:
> >
> > http://www.ncbi.nlm.nih.gov/pubmed/26857949
> >
> > http://www.ncbi.nlm.nih.gov/pubmed/26744665
> >
> > http://www.ncbi.nlm.nih.gov/pubmed/24394811
> >
> > The picture can be muddied if there is concomitant infection; also
> > albuterol overdose can cause diastolic hypotension...
> >
> > I think this is a good reminder for us that not all hyperlactatemia is
> > sepsis.
> >
> > Interested in others' experience -- thanks!
> >
> > 2016-07-06 12:52 GMT-07:00 Gill Winnik <[log in to unmask]>:
> >
> >> A recent discussion in our group was the management of child in status
> >> asthmaticus and continuous albuterol drip who develops lactic acidosis (
> >> but is does not have any other obvious signs of sepsis).
> >> Can members of the list comment on their experience?
> >>
> >> Giora Winnik MD
> >> Maimonides/Brooklyn
> >>
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> >
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>
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