ACUTE ASTHMA  MEDICATIONS

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Medication

Formulation

Dosing

Other/ Sedation

Albuterol (Ventolin) 90 mug/puff

 

 

Effective drug delivery
4-6 puffs MDI=2.5 mg nebulized
10-12 puffs MDI=5.0 mg nebulized
 
 
Albuterol 0.5 ml (0.5%) = 2.5mg 5- 10 mg in 4-6 cc NS nebulized over 1 hour or

2.5/5 mg mg in 3cc NS every 15-20 minutes X 3

 
ipratropium bromide (Atrovent) MDI (18 mug/puff) 2-4 puffs with spacer
 
1-3 puffs q6h Contraindicated if allergic to  soy, peanut or lecithin
ipratropium bromide (Atrovent) Nebulized Soln (0.02%) 500 mug/vial 250-500 mug WITH albuterol (1- 3 txts) 250-500 mug q6h Contraindicated if allergic to  soy, peanut or lecithin
Epinephrine (1:1000) (1 mg=1ml) Subcutaneously: 0.01 mg (mL)/kg (max 0.3-0.5mg) Can repeat q 15-20 min  
Terbutaline  (1mg=1mL)  Subcutaneously: 0.01 mg (mL)/kg (max 0.3 mg) Can repeat q 15-20 min IV:  Begin as bolus 10 mug/kg over 30 min(  (0.33 mug/kg/min) then as a drip 0.2 mug/kg/min  
Prednisone(K) (5mg/5ml) (1, 2.5,5,10, 20 mg tablets) 2mg/kg PO (Max 60 mg) Short course "burst;" 1-2 mg/kg/day, maximum 60 mg/day, for 3-10 days. give in AM
Prednisolone(K) (Prelone or Orapred) (15mg/5 ml) oral liquid  2mg/Kg PO (Max 60 mg) ( 240 ml)
Prednisolone(K) (Pediapred) (5mg/5 ml) oral solution  2mg/Kg PO (Max 60 mg) (120 ml, 480 ml)
Solumedrol 2, 4, 8, 16, 32 mg tablets  2 mg/Kg IV  
Dexameth-asone (Decadron) 0.5mg/ 5 ml, 0.25, 0.5, 0.75, 1,1.5, 2, 4, 6 mg tabs 0.6mg - 1.5 mg/kg  0.6 mg/kg to max of 16 mg PO qd x 2 days
Magnesium   Dosing 50-75 mg/kg to a maximum of 2 grams over 20 minutes  
Ketamine 10 mg/ml 1-2 mg IV 1-2 min  
0.2 mg/kg over 5 min then  0.5 mg/kg/hr gtt