Salbutamol (albuterol)

Question 1

List the indications for salbutamol?

Answer 1

-Bronchospasm due to asthma, chronic bronchitis, other chronic broncho-pulmonary disorders and anaphylaxis

-Hyperkalemia

Question 2

What is the salbutamol dosage for Bronchospasm?

Answer 2

Adult-2.5-5.0 mg NEB – repeat prn
-MDI 10 puffs (100mcg) with spacer q 5 min.

Pediatric-<10 kg = 1.25 mg;
10 - 20 kg = 2.5 mg;
>20 kg = 5 mg
(MDI 1 – 2 puffs q4h prn if over 4 y/o)

Less then 4 y/o use nebulization only

Question 3

What is the IV/IO salbutamol dose for asthma?

Answer 3

4mcg/kg IV/IO over 2 to 5 minutes q 15 minutes PRN to a max single dose of 250mcg.

**Only given AFTER Pt has received Mag, Dex, Atrovent/Ventolin NEB/MDI and EPI x 3.

Question 4

What is the dosage for salbutamol with a hyperkalemic patient?

Answer 4

NEB 10-20 mg (preferably 5mg/ml) nebulized over 15 minutes PRN.

MDI 10 puffs (100mcg) with a spacer
q 15 minutes PRN.

IV 4mcg/kg to a single max of 250mcg over 2 – 5 minutes. Do not repeat.

Question 5

What’s the contraindication for salbutamol?

Answer 5

Hypersensitivity!