Salbutamol for Wheeze & Severe Classification (In Clinic) (Age 2 months up to 5 years)

Give Salbutamol for wheeze with severe classification

Nebulised Salbutamol (2.5 ml nebule)

• Dilute 1ml in 3 ml saline
• Nebulise in the clinic
• Always use oxygen at flow rate of 6-8 litres
• If still wheezing repeat every 15 minutes in first hour and 2 - 4 hourly thereafter
• Add Ipratropium bromide 0.5 ml if available

OR

MDI - 100 ug per puff

• 4 - 8 puffs using a spacer
• Allow 4 breaths per puff
• If still wheezing repeat every 15 minutes in first hour and 2-4 hourly thereafter

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Integrated Management of Childhood Illness 2022; Child (Age 2 months up to 5 years); Treatments in Clinic Only; Salbutamol for Wheeze & Severe Classification 

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Last checked for updates: June 2023