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MDIs vs Nebulizers Efficacy
- Metered dose inhalers (MDIs) and nebulizers are roughly equivalent in delivering albuterol for asthma exacerbations.
- MDIs cause less tachycardia and tremulousness and should be combined with spacers for effectiveness.
Use Spacers With MDIs
- Always use an MDI with a spacer for children to improve drug delivery.
- Teach patients proper MDI use during hospital stays to improve at-home effectiveness.
Shorten Observation for Febrile Infants
- Discharge well-appearing febrile infants after 24 to 36 hours if cultures remain negative.
- Waiting the full 48 hours unnecessarily prolongs hospital stay and stresses families.