RT Journal
A1 Simon HK
T1 CAregiver knowledge and delivery of a commonly prescribed medication (albuterol) for children
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 1999
FD June 1
VO 153
IS 6
SP 615
OP 618
DO 10.1001/archpedi.153.6.615
UL http://dx.doi.org/10.1001/archpedi.153.6.615
AB Objective 
    To evaluate caregiver knowledge and delivery of a prescription medication (albuterol) for children.Design 
    Prospective convenience sample.Participants 
    Caregivers listing albuterol as one of their child's medications.Setting 
    Two urban, university-affiliated pediatric emergency departments.Interventions 
    Caregivers were asked about their knowledge of the medication, the child's dose, frequency, duration of use, and where it was prescribed. In a mock scenario, they measured and demonstrated medication delivery to their child. Common measuring devices and formulations were offered.Results 
    Forty-one caregivers were enrolled. Thirty-six (88%) were high school educated and 39 (95%) had a primary care provider. Twenty-six (63%) were out of medication, 7 (17%) stated an incorrect dose, 18 (44%) reported an incorrect frequency, and 10 (24%) stated an inadequate duration of use. Formulations chosen were liquid (n=15, 37%), nebulizers (n=15, 37%), and inhalers (n=11, 27%). Metered dosing (metered-dosing inhaler or premixed solution) were chosen by 22 caregivers (54%), calibrated measuring tools (droppers, syringes) by 15 (37%), and noncalibrated delivery devices (teaspoon) by 4 (10%). An improper dose was measured by 9 (22%), and the dose intended was inaccurately measured by 7 (17%). All caregivers using a teaspoon inaccurately measured their intended dose of the liquid formulation.Conclusions 
    Metered dosing and calibrated measuring devices aided in the accurate delivery of this prescription medication. However, considerable concern exists with the use of noncalibrated measuring devices (teaspoons), improper frequency, and duration of use. Refilling of medication was also a concern since 63% were out of albuterol. Caregiver education on use, delivery, and refilling of medications must be stressed and assessed at all emergency department and primary care visits. In addition, metered dosing and the use of calibrated measuring devices should be encouraged.