PROTOCOLS

ALS PRACTITIONER PROTOCOLS• Hexoprenaline : Ipradol aerosol : 100µgSulphate : Resp. solution : 0.25mg/ml: UDV : none: IV solution : 5µg/2ml or 25µg/10ml• Salbutamol : Ventolin aerosol : 100µg: Resp. solution : 5mg/ml: UDV : 2.5mg/2.5ml or 5mg/2.5ml: IV solution : 0.5mg/ml or 1mg/mlDOSAGE AND ADMINISTRATION:A. ACUTE BRONCHOSPASMAerosol:• 6 – 10 puffs should be administered during an episode, which may thenbe repeated every 15 minutes, using a spacerInhalant solution : (use half the dosage for paediatrics)• 2ml Fenoterol (1.25mg/2ml)(UDV) + 3ml N/S• 2ml Fenoterol (0.5mg/2ml) (UDV) + 3ml N/S (paediatric solution)• 1ml Fenoterol solution (1mg/ml) + 4ml N/S• 2ml Hexoprenaline (0.25mg/ml) + 3ml N/S• 1ml Salbutamol (5mg/ml) + 4ml N/S• Repeat continuously if necessaryUnit Dose Vials:• UDV + N/S diluted up to 5 mlAmpoules: (Note: adrenaline injection remains drug of choice for lifethreateningasthma)Salbutamol:Adults:• 250 µg/10mino Dilute 500µg/1ml ampoule Salbutamol with 19ml N/S =500µg / 20ml = 25 µg / ml• Administer 1ml/min over 10min (total of 250µg / 10 min)Paediatrics:• 5µg/kg diluted, slowly IVI over 10 minuteso Dilute 500µg/1ml ampoule Salbutamol with 19ml N/S =500µg / 20ml = 25 µg / ml40 SEPTEMBER 2006