Adult
Acetaminophen overdose:
PO, initial 140 mg/kg, then 70 mg/kg q4h for 17 doses starting 4 hr after loading dose
Mucolytic: PO, 200 mg TID; nebulize, 2-20 ml of 10% sol’n q2-6 h; usual dose 6-10 ml of 10% sol’n 3-4 times/d.
Atelectasis, Due to mucous obstruction; Chronic bronchitis; Acute or chronic bronchopulmonary disease with abnormal, viscid, or inspissated mucous secretions; Cystic fibrosis- adjunct:
Nebulization into a face mask, mouth piece, or tracheostomy: 2-20 ml of the 10% sol’n q2-6 h; usual dose 6-10 ml of the 10% sol’n 3-4 times/d.
Nebulization into a tent or Croupette: individualize treatment; use the volume of the 10% that will maintain a very heavy mist in the tent or Croupette.
Direct instillation into tracheostomy: 1-2 ml of a 10% sol’n may be given as often as every hour; usual dose is 1-2 ml of a 10% sol’n q1-4h.
Percutaneous intratracheal catheter: 2-4 ml of 10% sol’n every 1-4 h via a syringe attached to the catheter.
Diagnostic procedure on lower respiratory tract: diagnostic bronchial studies: 2-4 ml of the 10% sol’n 2- 3 times prior to the procedure by nebulization or by instillation intratracheally.
pediatric
Acetaminophen overdose:
PO, initial 140 mg/kg, then 70 mg/kg q4h for 17 doses starting 4 hr after loading dose
Mucolytic: PO, 100 mg TID; nebulize 2-20 ml of 10% sol’n q2-6h, usual dose 6-10 ml of 10% sol’n
Atelectasis, due to mucous obstruction; Chronic bronchitis; Acute or chronic bronchopulmonary disease with abnormal, viscid, or inspissated mucous secretions; Cystic fibrosis- adjunct:
Nebulization into a face mask, mouth piece, or tracheostomy: 2-20 ml of the 10% sol’n q2-6 h; usual dose 6-10 ml of the 10% sol’n 3-4 times/d.
Nebulization into a tent or Croupette: individualize treatment; use the volume of the 10% that will maintain a very heavy mist in the tent or Croupette.
Direct instillation into tracheostomy: 1-2 ml of a 10% sol’n may be given as often as every hour; usual dose is 1-2 ml of a 10% sol’n q1-4h.
Percutaneous intratracheal catheter: 2-4 ml of 10% sol’n every 1-4 h via a syringe attached to the catheter.
Diagnostic procedure on lower respiratory tract: diagnostic bronchial studies: 2-4 ml of the 10% sol’n 2- 3 times prior to the procedure by nebulization or by instillation intratracheally
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