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Response to Inhaled ß-Agonist in a Patient Receiving ß-Adrenergic Blockers

Response to Inhaled ß-Agonist in a Patient Receiving ß-Adrenergic Blockers Abstract • A 52-year-old man receiving long-term hemodialysis and a β-adrenergic blocker for hypertension had symptoms of acute bronchospasm when exposed to a new hemodialyzer. Resistant to two doses of subcutaneous epinephrine (1 mL of 1:1000 dilution) and one intravenous dose of aminophylline (250 mg), the bronchospasm was rapidly relieved by metaproterenol sulfate given by inhalation one hour later. (Arch Intern Med 1984;144:1882-1883) References 1. Newman BR, Schultz LK: Epinephrine-resistant anaphylaxis in a patient taking propranolol hydrochloride. Ann Allergy 1981;47:35-37. 2. Jacobs RL, Rake GW, Fournier DC, et al: Potentiated anaphylaxis in patients with drug-induced beta-adrenergic blockade. J Allergy Clin Immunol 1981;68:125-127.Crossref 3. Fraley DS, Bruns FJ, Segel DP, et al: Propranolol-related bronchospasm in patients without history of asthma. South Med J 1980;73: 238-239.Crossref 4. Webb-Johnson DC, Andrews JL: Bronchodilator therapy. N Engl J Med 1977;297:476-482, 758-764.Crossref 5. Nadel JA: Autonomic control of airway smooth muscle and airway secretion. Am Rev Respir Dis 1977;115:117-126. 6. Orange RP, Kaliner MA, LaRaia PJ, et al: Immunological release of histamine and slow reacting substance of anaphylaxis from human lung: II. Influence of cellular levels of cyclic AMP. Fed Proc 1971;30:1725-1729. 7. Kaliner M, Shelhamer JH, Davis PB, et al: Autonomic nervous system abnormalities and allergy. Ann Intern Med 1982;96:349-357.Crossref 8. McNeill RS, Ingram CG: Effect of propranolol on ventilatory function. Am J Cardiol 1966;18:473-475.Crossref 9. Shim C, Williams MH: Bronchial responses to oral versus aerosol metaproterenol in asthma. Ann Intern Med 1980;93:428-431.Crossref 10. Ouellette JJ, Reed CE: The effect of partial beta-adrenergic blockade on the bronchial response of hay fever subjects to ragweed aerosol. J Allergy Clin Immunol 1967;39:160-166. 11. Ryo UY, Townley RG: Comparison of respiratory and cardiovascular effects of isoproterenol, propranolol, and practolol in asthmatic and normal subjects. J Allergy Clin Immunol 1976;57:12-24.Crossref 12. Aljama P, Brown P, Turner P, et al: Hemodialysis-triggered asthma. Br Med J 1978;2:251-252.Crossref 13. Poothullil J, Shimizu A, Day RP, et al: Anaphylaxis from the product(s) of ethylene oxide gas. Ann Intern Med 1975;82:58-60.Crossref 14. Ei K, Hanai I, Horiuchi T, et al: Hemodialysis-associated asthma in a renal failure patient. Nephron 1979;25:247-248.Crossref 15. Key J, Nahmias M, Acchiardo S: Hypersensitivity reaction on first-time exposure to cuprophane hollow-fiber dialyzer. Am J Kidney Dis 1983;2:664-666.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Response to Inhaled ß-Agonist in a Patient Receiving ß-Adrenergic Blockers

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1984.00350210212041
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 52-year-old man receiving long-term hemodialysis and a β-adrenergic blocker for hypertension had symptoms of acute bronchospasm when exposed to a new hemodialyzer. Resistant to two doses of subcutaneous epinephrine (1 mL of 1:1000 dilution) and one intravenous dose of aminophylline (250 mg), the bronchospasm was rapidly relieved by metaproterenol sulfate given by inhalation one hour later. (Arch Intern Med 1984;144:1882-1883) References 1. Newman BR, Schultz LK: Epinephrine-resistant anaphylaxis in a patient taking propranolol hydrochloride. Ann Allergy 1981;47:35-37. 2. Jacobs RL, Rake GW, Fournier DC, et al: Potentiated anaphylaxis in patients with drug-induced beta-adrenergic blockade. J Allergy Clin Immunol 1981;68:125-127.Crossref 3. Fraley DS, Bruns FJ, Segel DP, et al: Propranolol-related bronchospasm in patients without history of asthma. South Med J 1980;73: 238-239.Crossref 4. Webb-Johnson DC, Andrews JL: Bronchodilator therapy. N Engl J Med 1977;297:476-482, 758-764.Crossref 5. Nadel JA: Autonomic control of airway smooth muscle and airway secretion. Am Rev Respir Dis 1977;115:117-126. 6. Orange RP, Kaliner MA, LaRaia PJ, et al: Immunological release of histamine and slow reacting substance of anaphylaxis from human lung: II. Influence of cellular levels of cyclic AMP. Fed Proc 1971;30:1725-1729. 7. Kaliner M, Shelhamer JH, Davis PB, et al: Autonomic nervous system abnormalities and allergy. Ann Intern Med 1982;96:349-357.Crossref 8. McNeill RS, Ingram CG: Effect of propranolol on ventilatory function. Am J Cardiol 1966;18:473-475.Crossref 9. Shim C, Williams MH: Bronchial responses to oral versus aerosol metaproterenol in asthma. Ann Intern Med 1980;93:428-431.Crossref 10. Ouellette JJ, Reed CE: The effect of partial beta-adrenergic blockade on the bronchial response of hay fever subjects to ragweed aerosol. J Allergy Clin Immunol 1967;39:160-166. 11. Ryo UY, Townley RG: Comparison of respiratory and cardiovascular effects of isoproterenol, propranolol, and practolol in asthmatic and normal subjects. J Allergy Clin Immunol 1976;57:12-24.Crossref 12. Aljama P, Brown P, Turner P, et al: Hemodialysis-triggered asthma. Br Med J 1978;2:251-252.Crossref 13. Poothullil J, Shimizu A, Day RP, et al: Anaphylaxis from the product(s) of ethylene oxide gas. Ann Intern Med 1975;82:58-60.Crossref 14. Ei K, Hanai I, Horiuchi T, et al: Hemodialysis-associated asthma in a renal failure patient. Nephron 1979;25:247-248.Crossref 15. Key J, Nahmias M, Acchiardo S: Hypersensitivity reaction on first-time exposure to cuprophane hollow-fiber dialyzer. Am J Kidney Dis 1983;2:664-666.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1984

References