The technique of continuous bronchodilator therapy requires an appropriate concentration of medication, and equipment for delivery. In the outpatient or emergency setting, aerosol typically is delivered to spontaneously breathing patients via face mask. Aerosols can be delivered continuously to patients receiving mechanical ventilation via external or ventilator-powered devices.12 Medication is administered under physician direction and supervision. Equipment includes a nebulizer, flowmeter, oxygen blender, oxygen and aerosol tubing, mask, and bronchodilator solution. The complete medication order should specify the drug, dilution, dosage to be delivered per hour, and percentage of supplemental oxygen. Typical doses for continuous albuterol range from 5 to 15 mg/h. Assessment of the patient and the equipment should occur frequently to confirm adequate delivery of the aerosol, and to monitor clinical effects including dyspnea, air movement, respiratory rate, and heart rate. Some practitioners add specific parameters: if heart rate increases by > 20 to 25 beats/min, the aerosol is stopped and the physician is notified. Clinical documentation should capture these observations.