Hypoglycemia after albuterol overdose in a pediatric patient

Çelik Yılmaz D., Yılmaz E., Duman M., Ünal N., Tunçok Y.

PEDIATRIC EMERGENCY CARE, cilt.20, sa.7, ss.464-465, 2004 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 7
  • Basım Tarihi: 2004
  • Doi Numarası: 10.1097/01.pec.0000132220.88470.7d
  • Dergi Adı: PEDIATRIC EMERGENCY CARE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.464-465
  • Anahtar Kelimeler: albuterol overdose, hypoglycemia, BETA-AGONISTS, SALBUTAMOL, HYPOKALEMIA, TERBUTALINE
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Albuterol overdose can lead to tachycardia, hypotension, tremor, hypokalemia, and hyperglycemia in children. Hypoglycemia had been previously reported in only one child. We describe a 3-year-old boy who ingested high-dose albuterol in this report. On arrival to the emergency department, the child was agitated and had noticeable restlessness, sinus tachycardia, mild hypokalemia (3.2 mEq/L), and hyperglycemia (187 mg/dL). Activated charcoal and intravenous hydration were given, and electrocardiogram monitoring was performed. Sinus tachycardia resolved within 4 to 6 hours. Hypoglycemia (45 mg/dL) was identified 4 hours after admission. The child recovered uneventfully within 24 hours with glucose replacement. This case suggests that hypoglycemia could be a late complication of acute albuterol overdose; thus, the period of observation should be extended in these cases.