Adenosine in the termination of albuterol-induced supraventricular tachycardia.
Five percent of children in the United States have asthma. Status asthmaticus is one of the most common conditions for which children seek care in a pediatric emergency department. beta 2-Agonists such as albuterol are the mainstay of emergency therapy for such children. We present a case of a 4-year-old boy who experienced supraventricular tachycardia (SVT) following albuterol therapy. This is believed to be the first report of adenosine being successfully used to treat a child with albuterol-induced SVT. We also briefly review the recognition and management of SVT in children and the pharmacokinetics of and indications for adenosine.
Cook
P
P
Department of Emergency Medicine, Memorial Hospital, York.
Scarfone
R J
RJ
Cook
R T
RT
D000241:Adenosine / Q000627:therapeutic use*; D000420:Albuterol / Q000009:adverse effects*; D002675:Child, Preschool; D006801:Humans; D008297:Male; D013224:Status Asthmaticus / Q000188:drug therapy; D013617:Tachycardia, Supraventricular / Q000139:chemically induced* / Q000188:drug therapy
D000241:Adenosine; D000420:Albuterol