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Seems a blood gas would only be drawn in a sick asthmatic so sick enough for Gas sick enough for lactate? Not much choice
As far back as I remember you get a lactate with blood gas wherever I have worked 
> 
> Sent from my iPad
> 
>> On Jul 6, 2016, at 8:00 PM, Rebecca Reamy <[log in to unmask]> wrote:
>> 
>> 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:
>>>> 
>>>> https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ncbi.nlm.nih.gov_pubmed_26857949&d=CwIBaQ&c=djx4x_Lu5jS1_mKMB7WBGhXdIwpne1KOnJAaisGB74Q&r=exvi3q-J52PR7GzZVteuwfhRX2j70zxRa9Sp7tvqwdc&m=23S1mr2CN1xAeok00NonfLFLpWwLHh43jfisU3yfo2U&s=LKYAp1gVK_EoNAyoEmJAT85fMF3ai2jq2srdH0OCMz4&e= 
>>>> 
>>>> https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ncbi.nlm.nih.gov_pubmed_26744665&d=CwIBaQ&c=djx4x_Lu5jS1_mKMB7WBGhXdIwpne1KOnJAaisGB74Q&r=exvi3q-J52PR7GzZVteuwfhRX2j70zxRa9Sp7tvqwdc&m=23S1mr2CN1xAeok00NonfLFLpWwLHh43jfisU3yfo2U&s=MhtiWsqGFt7hk_cc66qDGagt_cacQ39WXI-h96QWfRc&e= 
>>>> 
>>>> https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ncbi.nlm.nih.gov_pubmed_24394811&d=CwIBaQ&c=djx4x_Lu5jS1_mKMB7WBGhXdIwpne1KOnJAaisGB74Q&r=exvi3q-J52PR7GzZVteuwfhRX2j70zxRa9Sp7tvqwdc&m=23S1mr2CN1xAeok00NonfLFLpWwLHh43jfisU3yfo2U&s=2AnHUZZXMHJzVSL5WlN2qDaIWvqKcLC2z3bYU5fFgGU&e= 
>>>> 
>>>> 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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