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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 20-Year-Old Woman With Severe Asthma Refractory to Primatene Mist

Rahul K. Mishra, DO; Saba Radhi, MD; Kenneth M. Nugent, MD, FCCP
Author and Funding Information

From the Department of Anesthesiology (Dr Mishra) and the Department of Internal Medicine (Drs Radhi and Nugent), Texas Tech University Health Sciences Center, Lubbock, TX.

Correspondence to: Kenneth M. Nugent, MD, FCCP, Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th St, MS 9410, Lubbock, TX 79430; e-mail: kenneth.nugent@ttuhsc.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(5):1253-1255. doi:10.1378/chest.10-0684
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OkrentDGTesslerSTwerskyRATashkinDPMetabolic acidosis not due to lactic acidosis in patients with severe acute asthmaCrit Care Med1987151210981101MountainRDHeffnerJEBrackettNCJrSahnSAAcid-base disturbances in acute asthmaChest1990983651655BlackieJDGibsonPMurree-AllenKSaulWPAcute myopathy in status asthmaticusClin Exp Neurol1993307281MurphyFTManownTJKnutsonSWEliassonAHEpinephrine-induced lactic acidosis in the setting of status asthmaticusSouth Med J1995885577579MauryEIoosVLepecqBGuidetBOffenstadtGA paradoxical effect of bronchodilatorsChest1997111617661767RabbatALaabanJPBoussairiARochemaureJHyperlactatemia during acute severe asthmaIntensive Care Med1998244304312ManthousCALactic acidosis in status asthmaticus: three cases and review of the literatureChest2001119515991602PrakashSMehtaSLactic acidosis in asthma: report of two cases and review of the literatureCan Respir J200293203208KoulPBMinarikMTotapallyBRLactic acidosis in children with acute exacerbation of severe asthmaEur J Emerg Med20071415658NicksBMcGinnisHDBorronSWMégarbaneBLactic acidosisAccessed May 8, 2009http://emedicine.medscape.com/article/768159-overview

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