Salbutamol MDI Flashcards
Salbutamol MDI
Presentation
• Metered Dose Inhaler (MDI)
100mcg per puff
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Salbutamol MDI
Use
(conditions/Indications)
Bronchospasm and respiratory distress associated with wheeze:
• Acute Bronchial Asthma
• Bronchitis
• Smoke inhalation
• Severe allergic / anaphylactic reactions
• Acute Pulmonary Oedema of non-cardiac origin
• Salt Water Aspiration Syndrome (SCUBA divers)
• Chronic Obstructive Pulmonary Disease (COPD)
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Salbutamol MDI
Type
• Short acting Beta 2 stimulant that causes relaxation of bronchial smooth muscle (bronchodilation).
Salbutamol MDI
Dose
(administration method +repeats)
MDI / Space chamber as per Clinical Skill
• Press once firmly on the MDI to discharge 1 puff into the spacer
• Instruct the patient to take 4 breaths in and out
• Repeat 1 puff at a time until 4 puffs have been taken
• Repeat every 4 minutes as clinically required
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Salbutamol MDI
Actions
(inc onset/offset)
• Initial effect 2-5 minutes maximum by 10 minutes..
Salbutamol MDI
Contraindications
• Known hypersensitivity to Salbutamol
• Cardiogenic Pulmonary Oedema
• Age <12 months
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Salbutamol MDI
Adverse effects
• Muscle tremor
• Tachycardia
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Salbutamol MDI
Precautions
spacer / MDI is the preferred route for Salbutamol administration where the patient presents with influenza like illness.
• The use of a Multi Dose Inhaler (MDI) and spacer is equally as effective as nebulisation, in all asthma situations, where the patient is still able to adequately inhale.
• Use of a nebuliser is recommended where the patient loses this ability.
• Ambulance Transport Officers (ATO) are only authorised to use Salbutamol MDI in a known asthmatic patient with respiratory distress.
• If hypoxic, nebulise Salbutamol in preference to MDI, to address both hypoxia and bronchospasm. The nebulised route also makes it possible to administer Ipratropium Bromide simultaneously.
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