Salbutamol Flashcards
Salbutamol
Presentation
• Salbutamol nebules 5mg in 2.5mL • Metered Dose Inhaler (MDI) 100mcg per puff .
Salbutamol
Use
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)
.
Salbutamol
Type
.• Short acting Beta 2 stimulant that causes relaxation of bronchial smooth muscle (bronchodilation
Salbutamol
Dose
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
Nebulised as per Clinical Skill
• Use one to two nebules (5mg in 2.5ml) with 6-8L/min oxygen
• Give salbutamol via continuous nebulisation in life threatening asthma
• Repeat as clinically required
.
Salbutamol
Actions
Initial effect 2-5 minutes maximum by 10 minutes.
Salbutamol
Contraindications
- Known hypersensitivity to Salbutamol
- Cardiogenic Pulmonary Oedema
- Age <12 months
Salbutamol
Adverse effects
- Muscle tremor
* Tachycardia
Salbutamol
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.
