What is the adult dose for Albuterol when given as an aerosolized solution?

• A. Albuterol, 2.5 mg nebulized, may repeat two times.
• B. May not repeat dosing
• C. Albuterol, 5 mg nebulized, may repeat once
• D. Albuterol, 1.25 mg nebulized, may repeat two times

Answer: (A)

In adults, the standard aerosolized albuterol dose is 2.5 mg per nebulized treatment. This amount provides effective bronchodilation with a favorable safety profile in the field. Protocols typically allow repeating the same 2.5 mg dose every 20 minutes for up to two additional treatments, for a total of three doses if bronchospasm persists. Doses of 5 mg or 1.25 mg are not the typical EMS adult dose, and options that restrict repeats or use a higher single dose don’t align with common practice. So the correct approach is 2.5 mg nebulized, may repeat two times.