Background: Bronchiolitis is one of the leading causes of hospitalization in patients less than 2 years old. It can be a source of frustration for providers as numerous interventions that have been trialed throughout the years have not been shown to be effective. Albuterol is one such intervention as wheezing is a common clinical finding [...]

Case Presentation: Type A Lactic acidosis is commonly caused by decreased oxygen delivery and poor peripheral perfusion. Type B lactic acidosis ensues in absence of hypoxia or tissue hypoperfusion, mostly occurring in alcoholism, mitochondrial dysfunction, medications like metformin. We present an unusual case of Type B lactic acidosis induced by nebulized albuterol in the treatment [...]

Case Presentation: A 38 year-old female with history of asthma presented to the emergency department (ED) with symptoms of progressive dyspnea, wheezing, and dry cough, consistent with asthma exacerbation. In the ED, she was treated with continuous albuterol nebulizer for nearly 8 hours along with intravenous methylprednisolone.  Her clinical status worsened with increased work of [...]

Case Presentation: A 30 year-old woman with a history of severe asthma presented with two weeks of progressively worsening dyspnea. She has a history of multiple hospitalizations and intubations in the setting of asthma exacerbations. She noted a non-productive cough, but denied any fevers, edema or recent sick contacts.  Symptoms persisted despite increasing albuterol use [...]