title: Unintentional oral beta agonist overdose: case report and review of the literature.
abstract: An 18-month-old male infant with oral albuterol intoxication was admitted to our pediatric emergency medicine unit with agitation, moderate hypokalemia (2.36 mEq/L), and hyperglycemia (180 mg/dL). His initial electrocardiogram showed sinus tachycardia with a low-amplitude T waves. He was admitted for observation, intravenous hydration was started with added potassium, blood glucose levels were closely monitored along with serum potassium and magnesium, and serial electrocardiography was performed. It should be stressed that as an oral bronchodilator, albuterol does not improve symptoms of asthma, and it can lead to severe complications, which can be avoided when this drug is delivered by inhalation or by a metered dose inhaler.
authors.affiliation: Division of Pediatric Emergency Medicine, Department of Pediatrics, Dana's Children Hospital, University of Tel Aviv, Tel Aviv, Israel.
authors.forename: Miguel Marcelo
authors.initials: MM
authors.lastname: Glatstein
authors.forename: Ayelet
authors.initials: A
authors.lastname: Rimon
authors.forename: Lea
authors.initials: L
authors.lastname: Koren
authors.forename: Ronit
authors.initials: R
authors.lastname: Marom
authors.forename: Dana
authors.initials: D
authors.lastname: Danino
authors.forename: Dennis
authors.initials: D
authors.lastname: Scolnik
mesh_terms: D000284:Administration, Oral; D058666:Adrenergic beta-2 Receptor Agonists / Q000008:administration & dosage / Q000506:poisoning*; D000420:Albuterol / Q000008:administration & dosage / Q000506:poisoning*; D062787:Drug Overdose / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D006943:Hyperglycemia / Q000139:chemically induced; D007008:Hypokalemia / Q000139:chemically induced; D007223:Infant; D008297:Male
chemical_list: D058666:Adrenergic beta-2 Receptor Agonists; D000420:Albuterol