Hi there, I am trying to figure out the dosing for a 30kg child's nebulizer. My med book states "0.15mg/Kg/dose Q20min. for three doses." But then it says "not to exceed 10mg." ! By my calculations a 30kg child would be getting 4.5mg per dose and times 3 that equals 13.5mg total. Any one have experience in an ED setting administering nebs? Thanks!
Oct 1, '11
I think the 10mg is for each dose, not total doses
Oct 4, '11
In my ED we usually give asthmatics triple nebs and those are age-based doses for us, not weight based. A triple for under two years is 3.75 mg albuterol with 1.5 mg of strovent, run over an hour, 2-5 is 7.5 mg albuterol and 1.5 mg of atrovent over an hour, and older than 5 is 15 mg of albuterol and 1.5 mg of atrovent over an hour. Additional albuterol can be administered but often if kids fail the triple they get admitted on Q2 or Q3 albuterol or continuous albuterol.