Before giving inhaled albuterol via nebulizer or metered‑dose inhaler, which prerequisite is essential?

• A. Verify the patient has a history of heart disease
• B. Confirm the patient has a prescription or protocol authorization
• C. Ensure the patient has eaten a meal recently
• D. Confirm a recent dose of another beta agonist within 5 minutes

Answer: (B)

Having a prescription or protocol authorization is essential before giving inhaled albuterol. This ensures you’re operating within the EMS system’s approved scope, using the medication for the right indications, with the correct dose and route, and with proper documentation and monitoring plans. It also provides guidance on safety considerations and contraindications within that protocol, helping protect both the patient and you as the provider.

Other factors like a patient’s history of heart disease, recent meals, or a recent beta-agonist dose may influence assessment or safety considerations, but they do not establish the necessary authorization to administer the medication.