A 14-year-old girl presents at a school sports event with acute severe asthma. She has been using her salbutamol inhaler repeatedly without relief. Sh...

Question

A 14-year-old girl presents at a school sports event with acute severe asthma. She has been using her salbutamol inhaler repeatedly without relief. She can barely speak, has a respiratory rate of 35, and her chest is almost silent. SpO2 is 85%. She weighs approximately 50 kg. What dose of IV salbutamol can be considered in this life-threatening scenario?

Accepted Answer

15 micrograms/kg (750 micrograms) IV over 10 minutes

Answer

50 micrograms/kg (2.5 mg) IV over 10 minutes

Answer

No IV salbutamol should be given to children

Answer

5 mg IV bolus

Answer

250 micrograms IV bolus

uk-dipimc MCQ (SBA): Life-Threatening Paediatric Asthma