Friday, December 8, 2017

IVI Salbutamol Protocol

Availability in Hospital Keningau
Injection Salbutamol 0.5mg/ml

Indications:
  • Severe bronchospasm and status asthamaticus
Dilution protocol:
  • Reconstitution not required
  • Dilute 5mg Salbutamol in 500mL of NS or D5. 
  • Concentration of 10mcg/mL
Infusion rate:  
  • 0.3-2mL/min generally adequate. But in respiratory failure, higher dose has been used successfully
  • Starting dose of 5mcg/min (0.5mL/min) is recommended with appropriate adjustment in dosage according to patient response.
  • IV continuous infusion [Canadian product]: Initial: 5 mcg/minute; may increase up to 10 to 20 mcg/minute at 15- to 30-minute intervals if needed
References:
  1. Sarawak Handbook of Medical Emergencies 3rd Edition
  2. http://www.medicines.org.uk/EMC/medicine/105/SPC/Ventolin+Solution+for+IV+Infusion 
  3. http://www.medsafe.govt.nz/profs/Datasheet/v/VentolininjIV.pdf 
  4. www.uptodate.com

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