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