Salbutamol

Question 1

Salbutamol Drug Class and Presenation

Answer 1

Beta-Adrenergic agonist (beta 2)
Nebules 5mg in 2.5ml
Metered Dose inhaler 100mcg per puff

Question 2

Salbutamol
Indications

Answer 2

Bronchospasm and respiratory distress associated with a 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)

Question 3

** Salbutamol**
Contraindications

Answer 3

• Known hypersensitivity to salbutamol
• Cardiogenic pulmonary oedema
• Age <12 months

Question 4

Salbutamol
Dose

Answer 4

MDI with Spacer

Adult/Child > 6 years:

• 4-12 puffs (400-1200 microg), repeat every 20 minutes (or sooner if needed) for the first hour.
• 4 breaths per puff

**Nebulised **
* Use 1-2 nebules (5-10 mg in 2.5-5 mL) with 6-8 L/min oxygen in a nebuliser mask
* Give salbutamol via continuous nebulisation in life threatening asthma
* Repeat as necessary