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Therapy of acute bronchospasm. Complicated by lactic acidosis and hypokalemia.

Posted on 05/07/2010
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Hypokalemia and lactic acidosis developed following correction of respiratory acidosis in a 5-year-old child who presented with respiratory failure secondary to severe asthma and treated with theophylline, inhaled albuterol, and parenteral methylprednisolone. Calculation of the "anion gap" that provided the clue to presence of lactic acidosis was confirmed by the measurement of serum lactate level.

About the Authors

Assadi FK. (1989) Therapy of acute bronchospasm. Complicated by lactic acidosis and hypokalemia. Clin Pediatr (Phila). 1989 Jun;28(6):258-60. Department of Pediatrics, University of Illinois College of Medicine, Chicago.

Comments

Dr_Abram_Hoffer

Posted on 05/14/2010 01:43 am

This new work with NAD Therapy is very exciting and I think is right on target. It is indeed an energy-metabolic-deficiency (EMD) because in the absence of this coenzyme cycle almost all the reactions in the body run down... I congratulate Theo Verwey and his colleagues for this remarkable advance in using this concept and in using a simple test, the ratio of pyruvate to lactate as a diagnostic measure, to indicate the dose, duration of treatment etc.