II. Dosing: Albuterol
III. Co-administered Medications (May add to Nebulizer)
- Ipratropium (Atrovent) 250 mcg (1.25 ml) q6-8 hours
- Cromolyn Sodium (Intal) (10 mg/ml) 2cc q6 hours
- Flunisolide (Nasalide) (.25%=250 ug/ml) 1-2 ml q6 hours
IV. Dosing: Levalbuterol (Xopenex) for Age over 12 years
- Dose: 0.63 to 1.25 mg nebulized q6-8 hours
V. Adverse Effects
VI. Efficacy
-
Albuterol MDI and spacer/mask as effective as nebulizer
- Studied Wheezing children aged two years and younger
- Delgado (2003) Arch Pediatr Adolesc Med 157:76-80 [PubMed]
- Antiinflammatory added to nebulizer in RSV
- Study showed significant improvement
- Much fewer hospitalizations with Nasalide or Intal
- Reference
- Study showed significant improvement
-
Levalbuterol (Xopenex): Active R-Isomer of Albuterol
- Initially reported to have less Tachycardia than with Albuterol
- Appears to have no advantage over Albuterol
- References
- Initially reported to have less Tachycardia than with Albuterol