Severe asthma

Iv salbutamol

0.5mg or 500mcg in 1cc salbutamol.

15mcg/kg for bolus

If wt 9kg, means 135mcg in 10cc water for injection over 10 minutes w cardiac monitoring

As for maintainance.

0.12 -0.24cc/kg/hour = 1 – 2 mcg/kg/min

If wt 9kg, means 1cc/h = 1mcg/kg/min

MgSo

5cc had 2.47g or 2470mg of iv mgso4.

Dose is 50mg/kg

If wt 9kg, means 450mg is around 0.9cc in 5cc water for injection over 30 minutes with cardiac
monitoring.

Can give iv mgso after 8 hours if still not okay.

Neb salbutamol , neb combivent, neb budesonide 1mg bd