Asthma Medications

Question 1

Meds for acute asthma exacerbation?

Answer 1

Nebulized bronchodilators
Steroids
MgSO4
Heliox
Nebulized epinephrine
Terbutaline
Epinephrine

Question 2

Nebulizer bronchodilators for acute asthma exacerbation?

Answer 2

Duoneb: albuterol 2.5mg/3mL and ipatropium 0.5mg/3mL)
Then repeat albuterol x 2 (total of 3 treatments)

Question 3

Steroids for acute asthma exacerbation

Answer 3

Methlyprednisolone (solumedrol)
Dexamethasone (decadron)
Prednisone

Question 4

Severe cases or alternate to standard nebulizer bronchodilator treatment?

Answer 4

Standard: 1 duoneb then 2 albuterol over 1 hr

Alternate/severe: use 10-15mg/hr continuous albuterol nebulizer

Question 5

Methylpdnisolone (solumedrol) dose (asthma)

Answer 5

125mg IV (1mg/kg)

Question 6

Dexamethasone (decadron) dose (asthma)

Answer 6

Adults: 10-16mg
Peds: 0.6mg/kg (max 16mg)

Question 7

Prednisone dose (asthma)

Answer 7

40-60mg PO

Question 8

MgSO4 dose (asthma)

Answer 8

2g over 20 min

Question 9

Heliox dose (asthma)

Answer 9

20/80 or 30/70 (He/O2 mixture)

Question 10

Nebulized epinephrine dose (asthma)

Answer 10

0.5mL of 2.25% in 3mL

Question 11

Terbutaline dose (asthma)

Answer 11

0.25mg SQ q 20 min
X 3 doses

Question 12

Epinephrine dose (asthma)

Answer 12

0.3-0.5mg IM (same as anaphylaxis)