AboutNeal Okerson Expertise I should be able to answer most questions about anatomy and physiology of heart and lungs. I also enjoy answering questions about understanding diseases. I should also be able to explain the goals and objectives of various pulmonary related treatments. Not an M.D., but worked in the field (Certified Respiratory Therapy Technician) since 1990. Registered Respiratory Therapist since 1995. B.S. degree in Health Education (1987). Currently working (since 1993) as the Director of Clinical Education in an AMA approved Respiratory Care Program in Western KY.
Question I had an argument with a coworked. The Dr ordered a 5mg dose of albuterol via jet neb. We have unit dose vials or 2.5mg albuterol diluted in saline. She thinks two unit doses equal 5mg. I say you can use a 2.5mg unit dose plus 2.5mg/0.5cc dropper dose without saline.
Answer You are both right. The patient will get 2.5 mg either way. The difference is that using 2 unit dose containers will result in double the dilutent. If you use a dropper to add 2.5 mg to the unit dose, you will have half of the dilutent. Which is best depends on your hospital protocol or physician's order. If they want the Tx given in 3 ml, you will have to use a dropper to add to the unit dose amount.
Also, you will double treatment time if you use 2 unit dose containers.
