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Laktatacidose hos en yngre kvinde med status asthmaticus

Forfatter(e)
Lana Ramazan-Yousif1, Signe Albertsen2, Troels K. Bergmann3, Poul Henning Madsen4 & Nick Phaff Steen1 1) Anæstesiologisk og Intensiv Afdeling, Sygehus Lillebælt Vejle 2) Afdeling for Klinisk Biokemi og Farmakologi, Odense Universitetshospital 3) Klinisk Farmakologi og Farmaci, Institut for Sundhedstjenesteforskning, Syddansk Universitet, Odense 4) Medicinsk Afdeling – Lungemedicin, Sygehus Lillebælt Vejle Ugeskr Læger 2016;178:V06160459
Reference: 
Ugeskr Læger 2016;178:V06160459
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2-3
Lactic acidosis in a 24-year-old woman with status asthmaticus
A 24-year-old woman with asthma presented with symptoms of upper airway infection and tachypnoea and wheezes. She had a history of admissions to intensive care units (ICU) due to respiratory insufficiency. The initial lactate concentration was 2.1 mmol/l. The treatment consisted of inhaled and intravenous beta 2 agonists. Hereafter, the lactate concentration rose to 9.8 mmol/l, and the patient was admitted to the ICU due to severe asthma exacerbation. The elevation of lactate concentration cleared after discontinua­tion of beta 2 agonist therapy. Although lactic acidosis is a rare side effect to beta 2 agonist treatment, it is important to recog­nize it when present.
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