Salbutamol – When to give the next dose?

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Salbutamol is one of the most frequently used medicines in the paediatric pharmacopeia. Most of us can say that it’s a short acting beta agonist delivered by nebuliser or more commonly via an MDI with spacer. Some might recall that the half life is between 2.7 and 5.5hrs. And, most perplexing of all, once we’ve…

Update on asthma management

The Royal Children’s Hospital in Melbourne have released an update on their asthma management. There are some great points here around the use of steroids and planning for discharge. Thanks to Mike Starr and RCH for allowing us to reproduce the update here…

Asthma Exacerbations & Therapeutic Positioning

Idea: Sitting erect vs slouching or slumping improves air flow in moderate-severe exacerbations of asthma. A pale, breathless 7 year old with a known history of asthma presents to your department. Oxygen saturations are hovering in the mid-80’s with marked tracheal tug, subcostal, substernal, intercostal and supraclavicular recessions in addition to accessory muscle usage. He’s…

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