Ventolin - Salbutamol

Short-acting selective beta2 agonist.

Injection
• Child 1–23 months, by intravenous injection over 5 minutes: 5 mcg/kg as a single dose.
• Child 2–17 years, by intravenous injection over 5 minutes: 15 mcg/kg (maximum 250 mcg) as a single dose.
• Adult, subcutaneous or intramuscular injection: 500 mcg, repeated every four hours if necessary.
• Adult, by slow intravenous injection: (dilute to a concentration of 50 mcg/ml), 250 mcg, repeated if necessary.

Infusion
• Child 1 month–18 years: 1–2 mcg/kg/minute, adjusted according to response and heart rate, up to 5 mcg/kg/minute. Doses above 2 mcg/kg/minute should be given in an intensive care setting.
• Adult, by intravenous infusion: initially 5 mcg/minute, adjusted according to response and heart rate, usually in range 3–20 mcg/minute, or more if necessary.

Inhaled
• Child, by aerosol inhalation: 100 mcg (1 puff), increased to 200 mcg (2 puffs) if necessary. For persistent symptoms, up to four times daily.
• Adult, by aerosol inhalation: 100–200 mcg (1–2 puffs), for persistent symptoms up to 4 times daily.
• Adult, by inhalation of nebulised solution: 2.5–5 mg, repeated up to four times daily for persistent symptoms.

Moderate to severe or life-threatening acute asthma, treated by inhalation of nebulised solution. Give via a large volume spacer, and via a close-fitting face mask in children under 3 years.
• Child 1 month–4 years: 2.5 mg, repeat every 20–30 minutes or when required.
• Child 5–11 years: 2.5–5 mg, repeat every 20–30 minutes or when required.
• Over 12 years: 5 mg, repeat every 20–30 minutes or when required.

Moderate and severe acute asthma by inhalation of aerosol.
• Children and adults: 2–10 puffs, each puff to be inhaled separately, repeat every 10–20 minutes or when required. Each puff is equivalent to 100 mcg.

Oral
(Please note, inhalation route preferred over oral route in children.)
• Child 1 month–1 year: 100 mcg/kg (maximum 2 mg) 3–4 times daily
• Child 2–5 years: 1–2 mg, 3–4 times daily
• Child 6–11 years: 2 mg, 3–4 times daily
• Child 12–17 years: 2–4 mg, 3–4 times daily
• Over 18 years: 4 mg (elderly and sensitive patients initially 2 mg), 3–4 times daily, with a maximum single dose of 8 mg (but unlikely to provide much extra benefit or to be tolerated).

Vistamethasone - Betamethasone

For non-infected inflammatory conditions of nose using Vistamethasone® by intranasal administration
Adult: Apply 2–3 drops twice daily, dose to be applied into each nostril.

Vitalograph 4500 AIM Aerosol Inhalation Monitor

The Vitalograph 4500 AIM™ (Aerosol Inhalation Monitor) is designed to assist medical practitioners in assessing inhaler use, whether MDI or DPI. Mastery of the correct technique will support more accurate drug delivery and good patient compliance, resulting in better disease management and fewer visits to medical professionals.

• Validates effective use of an inhaler
• Identifies correct choice of inhaler device type
• Identifies and quantifies poor inhaler technique
• Objective identification of proper use of the inhaler device
• Assists in training patients to use their inhalers correctly
• Provides clear feedback and instructions to subject and trainer
• Easy to use, hygienic and low cost
• Can optionally be used with a spacer

Stockists: Vitalograph, Williams Medical Supplies, Medisave, Mistry Medical Supplies.

Vitalograph Alpha Touch

This spirometer uses the highly acclaimed Fleisch Pneumotachograph technology for flow measurement. It has a touchscreen with an icon driven menu and a large bright high resolution colour display. It has an in-built printer and can store data for up to 10,000 patients. It has automatic two-way synchronisation to Vitalograph Spirotrac Software and can link to popular practice management systems. There are over 50 test parameters to choose from, pre- and post-bronchodilator comparisons can be made and there is a choice of incentives to use.

Stockists: Vitalograph, Primary Care Supplies, Medisave.

Vitalograph asma-1 Digital Peak Flow Meter

A simple respiratory monitor that measures PEF and forced expiratory volume in one second (FEV1).
FEV1 has less diurnal variability and is less effort dependent than PEF, so is a valuable measure. Suitable for home or clinic use, the device can be integrated with a smartphone or tablet for ePRO data collection. It offers greater accuracy than mechanical peak flow meters and eliminates the need for paper record cards.
It automatically stores best readings and displays each reading as a percentage of the personal best for both PEF and FEV1. The PEF and FEV1 zones can be personalised and 600 test sessions can be saved.
It has a large easy-to-read display and uses AAA batteries. It has an easy to clean mouthpiece and flowhead and can be used in conjunction with Vitalograph SafeTway mouthpieces in a clinic.

Vitalograph copd-6 COPD screening device

The COPD-6 identifies those at risk of COPD at pre-symptomatic stage to allow early medical intervention and improve clinical outcomes. This device screens out those whose FEV1 is normal, and so do not have COPD, without the risk of false COPD negatives, allowing spirometry resources to be focused on those at greatest risk. It displays FEV1, FEV6, ratio and % predicted, obstructive index, COPD classification and ‘lung age’. It has a built-in quality of blow indicator on a large, easy-to-read display. This device has an easy-to-clean flowhead and can be used with SafeTway mouthpieces.

Stockists: Vitalograph, Medscope.

Vitalograph In2itive™

Vitalograph In2itive™ combines the benefits of full spirometry, data integration and mobility in a small lightweight, handheld spirometer. The Fleisch flow measuring technology and a simple icon-driven menu, plus a large, high resolution colour touchscreen and storage capacity for 10,000 subjects, makes In2itive a solution for high quality spirometry on the move. Subject data can be entered manually or by downloading from Spirotrac Software. Features include:
• removable flowhead, SafeTway mouthpieces or BVF bacterial/viral filters
• long hours of battery life
• over 50 test parameters
• pre- and post-bronchodilator comparison
• choice of child incentives with sound effects
• print via PC or via Spirotrac Software
• carrying case.

Stockists: Vitalograph, Medisave.

Vitalograph Micro

This is a compact, lightweight, handheld spirometer. It has a full colour touchscreen and an icon-driven menu. It comes with Vitalograph Reports Software, which provides configurable PDF reports for archiving or printing. Features include:
• flow/volume and volume/time curves in real time
• expandable graph views for full visualisation
• display overlay of three best blows
• choice of over 40 parameters
• pre- and post-bronchodilator testing options
• removable flowhead for easy cleaning.

Stockists: Vitalograph, Medisave.

Vitalograph myPEF Peak Flow Meter

The web-enabled myPEF is supplied with a unique ID card allowing users access to a secure website where they can enter their PEF readings. This eliminates the need for paper records and supports data accuracy. Data trending and customised colour zones can provide pre-symptomatic indications of potential asthma exacerbations. It has easy-to-read graphical data display and report generation featuring plotting, trending and time stamping functions. Clinicians can be granted access to view patients’ PEF results online for reliable, cost-effective remote monitoring. Ergonomically designed for maximum comfort and ease of use.

Vitalograph SafeTway One-Way Valve Mouthpieces

The SafeTway® mouthpiece allows entry of expired air into the measuring system, but not back to the test subject. This simple, yet effective patented design allays concerns about accidental inhalation of pathogens.
The SafeTway is an inexpensive alternative to the bacterial viral filter for expiratory only testing. It fits most pulmonary function test equipment, including peak flow meters. An adaptor may be required.
The Mini SafeTway with a 22mm diameter mouthpiece is available for paediatric use or for older test subjects who have difficulty fitting their mouth properly around the standard-size mouthpiece.
Other similar generic one-way valve mouthpieces are available from suppliers.

Stockists: Vitalograph, Medisave, Primary Care Supplies.