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    The document provides instructions for administering salbutamol bolus and monitoring a patient. It states that salbutamol bolus should be administered at 5 micrograms/kg for patients aged 1 month to 2 years and 15 micrograms/kg (maximum 250 micrograms) for patients aged 2 to 18 years. It also lists vital signs and other parameters that should be monitored every 10 minutes, including heart rate, respiratory rate, oxygen saturation, end-tidal carbon dioxide, and electrocardiogram. An initial blood test including electrolytes should also be obtained.

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    The document provides instructions for administering salbutamol bolus and monitoring a patient. It states that salbutamol bolus should be administered at 5 micrograms/kg for patients aged 1 month to 2 years and 15 micrograms/kg (maximum 250 micrograms) for patients aged 2 to 18 years. It also lists vital signs and other parameters that should be monitored every 10 minutes, including heart rate, respiratory rate, oxygen saturation, end-tidal carbon dioxide, and electrocardiogram. An initial blood test including electrolytes should also be obtained.

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    4 views2 pages

    New Microsoft Word Document

    Uploaded by

    ali nagy
    The document provides instructions for administering salbutamol bolus and monitoring a patient. It states that salbutamol bolus should be administered at 5 micrograms/kg for patients aged 1 month to 2 years and 15 micrograms/kg (maximum 250 micrograms) for patients aged 2 to 18 years. It also lists vital signs and other parameters that should be monitored every 10 minutes, including heart rate, respiratory rate, oxygen saturation, end-tidal carbon dioxide, and electrocardiogram. An initial blood test including electrolytes should also be obtained.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    :Has patient received

    ?Continuous salbutamol nebulised •

    ?Ipratropium bromide nebulised •

    ?Hydrocortisone IV •

    Is patient still not improving/worsening and

    ?meets severe/life-threatening criteria

    SALBUTAMOL BOLUS

    Aged 1 month–2 yr: 5 microgram/kg •

    Aged 2–18 yr: 15 microgram/kg (max 250 •

    )microgram

    Using 500 microgram/mL injection preparation, dilute

    to aconcentration of 50 microgram/mL with sodium

    chloride 0.9%(e.g. withdraw 250 microgram = 0.5 mL

    and make up to a totalvolume of 5 mL using sodium

    chloride 0.9% = 250 microgram in5 mL). Calculate

    dose per kg as above and administer as a slowbolus

    over 5 min

    MONITORING

    Record heart rate and respiratory rate every 10 •

    min

    Continuous SpO2 and CO2 monitoring •

    ECG monitoring •

    Baseline U&E (capillary blood gas for potassium) •

    Infuse at 60–300 microgram/kg/hr


    0.3–1.5 =)use 50 kg as max weight(

    /mL/kg/hr when using 200 microgram

    (mL solution

    ma

    If

    mum 75 m

    microgra 2

    /g
    min in PICU

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