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Lactate levels were subsequently measured and found to be high, accounting for the metabolic acidosis. High lactate levels were attributed to intravenous salbutamol. His blood gases and lactate level returned to normal within 3 h after stopping intravenous salbutamol. He was recommended on salbutamol nebulisers while still continuing on intravenous aminophylline. He continued to improve and was discharged home after 4 days.<\/jats:p>","DOI":"10.1136\/bcr.01.2010.2665","type":"journal-article","created":{"date-parts":[[2010,9,29]],"date-time":"2010-09-29T07:13:09Z","timestamp":1285744389000},"page":"bcr0120102665","source":"Crossref","is-referenced-by-count":7,"title":["Salbutamol: beware of the paradox!: Table 1"],"prefix":"10.1136","volume":"2010","author":[{"given":"R","family":"Saxena","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Marais","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,9,29]]},"reference":[{"key":"2025082802224952000_2010.sep23_1.bcr0120102665.1","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/S0022-3565(25)30960-2","article-title":"Adrenergic receptor mechanisms involved in the hyperglycemia and hyperlactic-acidemia produced by sympathomimetic amines in the cat","volume":"202","author":"Kuo","year":"1977","journal-title":"J Pharmacol Exp Ther"},{"key":"2025082802224952000_2010.sep23_1.bcr0120102665.2","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1111\/j.1365-2125.1980.tb05844.x","article-title":"Metabolic and cardiovascular side effects of the 2 adrenoceptor agonists salbutamol and rimiterol","volume":"9","author":"Phillips","year":"1980","journal-title":"Br J clin Pharmacol"},{"key":"2025082802224952000_2010.sep23_1.bcr0120102665.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6061.639-c"},{"key":"2025082802224952000_2010.sep23_1.bcr0120102665.4","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1111\/j.1471-0528.1977.tb12596.x","article-title":"The effect of intravenous salbutamol upon plasma and urinary potassuim during premature labour","volume":"84","author":"Smith","year":"1977","journal-title":"Br J Obstet Gynaecol"},{"key":"2025082802224952000_2010.sep23_1.bcr0120102665.5","doi-asserted-by":"crossref","unstructured":"Wang P Clausen T . 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