ممرض يعطي البخار بالسالبيوتامول لمريض، وبعد الجلسة صار نبضه ١٢٤ ويرتجف قليلاً. ما التفسير؟

After a salbutamol nebuliser a client’s HR is 124 and he has a slight tremor. What is the explanation?

1. Toxicity requiring salbutamol to stop permanently
2. A heart attack needing an urgent ECG
3. An expected side effect of salbutamol
4. Severe allergy needing adrenaline

Answer: C) An expected side effect of salbutamol. Salbutamol stimulates beta receptors, causing tachycardia and tremor and sometimes low potassium. It is usually transient; pulse and symptoms are monitored and severe effects or chest pain reported.