A 6 y/o, 25 kg (55lb) child is admitted for asthma exacerbation. The child has been receiving albuterol 12 mg/hr by continuous neb for 24 hours. Chest auscultation reveals faint expiratory wheezes with decreased aeration of all lung fields. Additional data include: HR 110, RR 30, spo2 92% on RA, PEFR 120 L/min.
Which of the following should the NPS recommend?
A: admin. 2.5mg albuterols q1h
B: contintue alb as prescribed
C: change the albuterol dose to 5 mg/hr
D: Add 0.5mg atrovent q2h
B: continue as prescribed