SALBUTAMOL

Question 1

Action and side effects

Answer 1

ACTION
Stimulates beta 2 receptors in bronchial smooth
muscles resulting in bronchodilation.

SIDE EFFECTS
• Anxiety
• Tachyarrhythmias
• Tremors
• Hypokalaemia and metabolic acidosis

Question 2

Indications, contrainidications and precautions

Answer 2

• Bronchospasm

KSAR
• Patients <1 year

PRECAUTIONS
• Ischaemic heart disease
• Acute pulmonary oedema

Question 3

Dosages

Answer 3

ADULT DOSAGE
Bronchospasm
LEVEL ROUTE DOSAGE
EMT 1
EMT 2 MDI
12 (1.2mg) inhalations
Salbutamol
Repeat every 10mins if
required
No max dose
EMT 1
EMT 2 NEB
5mg Salbutamol
Repeat if required
No max dose

PAEDIATRIC DOSAGE
Bronchospasm
LEVEL ROUTE DOSAGE
EMT 1
EMT 2 MDI
1-5 years, 6 inhalations (600
mcg) Salbutamol
Repeated at 10 minutes
No max dose
>6 years, 12 inhalations (1.2mg)
Salbutamol
Repeat every 10mins if
required
No max dose
EMT 1
EMT 2 NEB
>1-5 years 2.5mg/2.5ml
Salbutamol
Repeat every 10mins if
required
≥6 years 5mg/2.5ml
Salbutamol
Repeat every 10mins if
required
No max dose