8‏/12‏/2016

MCQ 7 (Medicine/Asthma/ How many nebulized albuterol treatments can give safely

There is no albuterol available to you in your ED, so the patient who is complaining of asthma exacerbation receives nebulized ventolin. However, she continues to wheeze.
How many ventolin treatments can this patient safely receive?
A) 1 every other hour.
B) 1 per hour.
C) 2 per hour
D) 3 per hour.
E) Continuous nebulization of albuterol is safe.


Discussion
The correct answer is E. Albuterol can be administered via nebulizer continuously if needed, even in the pediatric age group. Tachycardia, one of the main side effects of albuterol treatment, will often improve with continuous albuterol. This occurs because the patient’s tachycardia is often driven by hypoxia. Once the asthma is adequately treated, oxygenation improves, and the pulse comes down.

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