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The usual recommended dosing frequency for inhaled albuterol in a 3 year old is every 6 hours. However, if he is still having shortness of breath, it would be OK to give hime another dose after 4 hours, but the maximum dose of 10 mg over 24 hours should not be exceeded, which would usually be 4 doses over the course of 24 hours.
So, if he was given a dose at 6:45, he can be given another dose at 10:45.
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