Does patient have Mild -
Albuterol 4-8 puffs MDI with chamber
or 2.5 mg (unit dose) per nebulizer every 15-20 minutes as
Reassess after first Albuterol treatment and within 1 hour of
Does patient have Severe
Albuterol 0.15 mg/kg per
nebulizer every 15-20 minutes as 2.5 mg (unit dose) or 5.0 mg (unit
dose x2) or 0.5 mg/kg/hr continous
Reassess after first Albuterol treatment and within 30 minutes
of additional treatment
Alternative Medication to
Xopenex (<11y 0.63mg/treatment; >11y 1.25 mg/
treatment) may be used as an alternative to Albuterol.
These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time.
It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.