Give short acting BDs SABA albuterol levalbuterol MDI NEB SAMA ipratropium MDI NEB C Use NEB hourly x2 3 doses then q2 4h Continuous NEB not recommended Air driven NEB preferred vs O2 driven to avoid potential uarr PaCO2 Use standard COVID 19 precautions

<b>Give short-acting BDs:</b> SABA (<a href=https://online.epocrates.com/e/deeplink/drugs/10a3308/albuterol%20inhaled><u>albuterol</u></a>, levalbuterol (<a href=https://online.epocrates.com/e/deeplink/drugs/10a4146/Xopenex%20HFA><u>MDI</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a2202/levalbuterol%20inhaled><u>NEB</u></a>)) +/- SAMA (ipratropium (<a href=https://online.epocrates.com/e/deeplink/drugs/10a4060/Atrovent%20HFA><u>MDI</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a418/ipratropium%20bromide%20inhaled><u>NEB</u></a>)) [C]. Use NEB hourly x2-3 doses, then q2-4h. Continuous NEB <b>not recommended</b>. Air-driven NEB preferred vs. O₂-driven to avoid potential &uarr;PaCO₂. Use standard COVID-19 precautions; keep circuit intact; use mesh NEB in ventilated pts.