Which method is specified for delivering albuterol in wheezing management?

• A. Oral tablet.
• B. Nebulizer, 2.5 mg/3 mL.
• C. Intravenous infusion.
• D. Metered-dose inhaler without spacer.

Answer: (B)

When wheezing is present, delivering albuterol through inhalation provides the fastest, most targeted relief. The nebulized form given as 2.5 mg in 3 mL of solution is a standard rescue-dose because it delivers medicine directly to the airways with minimal need for patient coordination. This is particularly helpful when the patient is in distress or a child who may struggle with timing a inhaler correctly.

Oral tablets are slower to act and less reliable for acute relief since absorption is variable and it doesn’t reach the lungs quickly. Intravenous infusion is typically reserved for severe, refractory cases and isn’t the usual first-line method for wheezing management. A metered-dose inhaler without a spacer can work, but its effectiveness depends on proper technique, which is difficult during a wheeze episode. Therefore, the recommended method is nebulized albuterol at 2.5 mg/3 mL.