case_images: PMC11249570_01
case_images: Heart rate (min-1) and mean arterial pressure (MAP, mm Hg) versus salbutamol levels (ng/mL).
case_images: cnd-2024-0014-0001-536523_F01.jpg
case_images: PMC11249570_01_cnd-2024-0014-0001-536523_F01.jpg
case_images: F1
case_images: He was eventually prescribed intravenous methylprednisolone but accidently received 1 mL of salbutamol (albuterol) solution 5 mg/mL instead (see Fig. 1), which led to immediate severe tachycardia with hemodynamic collapse. At dialysis initiation, the patient was hypotensive (81/34 mm Hg) and tachycardic (181/min); however, 30 min after dialysis commencement, the patient suddenly converted to sinus rhythm with pulse rate 80/min (see Fig. 1). Lactate and potassium levels, and urine output are shown in Figure 1.