Category Archives: Pulmonology

Steroids in Pediatric Asthma

Asthma exacerbation is a common complaint seen in the emergency department. The cornerstone of treatment consists of short acting beta agonists (albuterol), respiratory anticholinergics (ipratropium bromide), and steroids. Lets talk about steroid treatment in children with mild to moderate asthma … Continue reading

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Outpatient Treatment Pulmonary Embolism

It might be time to start treating patients with pulmonary embolism as outpatients. Over 6 years ago two papers were published by the same authors that presented similar prediction rules to identify patients with pulmonary embolism who are at low … Continue reading

Posted in Cardiology, Hematology, Pulmonology | Leave a comment

Asthma – Does the steroid matter?

Adults and children present to emergency departments on a regular basis with exacerbation of their condition for a variety of reason.  Anecdotally, the standard treatment for run-of-the-mill asthma is nebs followed by a 5 day prednisone burst.  However, does it … Continue reading

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Lactic Acidosis and Albuterol

A quick diversion from GU.  I took care of a patient that was diagnosed with severe lactic acidosis (7.5mmol/l) secondary to albuterol (salbutamol) treatment. Who knew that albuterol can cause lactic acidosis!!! Hyperlactatemia secondary to albuterol was originally described in … Continue reading

Posted in Medications, Pulmonology, toxicology