A 19-month-old boy with recurrent respiratory distress.
We present a 19-month-old boy with a history of asthma who presented to the pediatric emergency department with noisy breathing and tachypnea partially responsive to albuterol. He was discharged to routine care at home. His parents brought him back the next day for persistent respiratory distress despite routine home albuterol. A check of electrolytes showed a low bicarbonate level.
Cross
Keith P
KP
Division of Emergency Medicine, Department of Pediatrics, Kosair Children's Hospital, University of Louisville, Louisville, KY, USA. keith.cross@louisville.edu
Randell
Kimberly A
KA
Herr
Sandra M
SM
D000136:Acid-Base Equilibrium; D000420:Albuterol / Q000627:therapeutic use; D000472:Alkalosis, Respiratory / Q000097:blood / Q000139:chemically induced; D001241:Aspirin / Q000506:poisoning*; D001249:Asthma / Q000150:complications* / Q000188:drug therapy; D001639:Bicarbonates / Q000097:blood; D001734:Bites, Human / Q000150:complications; D002649:Child Abuse; D002712:Chlorides / Q000097:blood; D002658:Developmental Disabilities / Q000150:complications; D004630:Emergencies; D006801:Humans; D006985:Hyperventilation / Q000097:blood / Q000139:chemically induced*; D007223:Infant; D008297:Male; D011041:Poisoning / Q000097:blood / Q000175:diagnosis; D012008:Recurrence; D012459:Salicylates / Q000097:blood
D001639:Bicarbonates; D002712:Chlorides; D012459:Salicylates; D000420:Albuterol; D001241:Aspirin