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Paper Chase 4 – Albuterol, Lactate, and Potassium

Sanjay Arora, MD and Mike Menchine, MD
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03:52
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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00:58

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EM:RAP 2017 January Written Summary 926 KB - PDF

Nebulized albuterol made lactate levels go up and potassium levels go down (by 0.5mEq/L in an hour.

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Rabbott -

It may be worth noting that the dose used was 10 mg of albuterol (we generally use 2.5 or 5 mg for bronchospasm). It seems that not all of us have been aware that the usual dose for treating hyperkalemia is 10 or 20 mg of albuterol. It's really easy and quick to use while insulin drips and such get mixed, and this reinforces earlier articles suggesting that the response is 0.5 meq or more.

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