Situation | Total dose per occasion | Administration |
Cough or wheeze without visibly increased work of breathing |
2–4 actuations x salbutamol 100 microg/actuation If symptoms do not resolve within a few minutes, give 2–4 more actuations. |
With spacer: Add 1 actuation to spacer – child takes 4 breaths in and out of spacer. Immediately repeat for second and subsequent actuations until the recommended number of actuations have been given. |
Symptoms with increased work of breathing |
12 actuations x salbutamol 100 microg/actuation If symptoms do not resolve within a few minutes, give 12 more actuations and call 000 for an ambulance. If symptoms still do not resolve, or recur within 3 hours, parents/carer should take child to ED or call 000 for an ambulance. |