Albuterol Flashcards

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Questions and Answers

What is the generic name of the drug?

  • Albuterol (correct)
  • Salbutamol
  • Proventil
  • ProAir HFA

Which of the following is NOT a trade name for Albuterol?

  • ProAir HFA
  • Proventil
  • Salbutamol
  • Ibuprofen (correct)

What classification does Albuterol fall under?

Adrenergic B2-Adrenergic, sympathomimetic, bronchodilator

What is the recommended dose for Albuterol?

<p>INH 2 puffs (180mcg)</p> Signup and view all the answers

How often can Albuterol be administered?

<p>q4-6hr as needed</p> Signup and view all the answers

What are the common routes for administering Albuterol?

<p>INH, po, Neb/IPPB</p> Signup and view all the answers

What is the peak effect time for Albuterol when taken via inhalation?

<p>1 1/2-2 hrs</p> Signup and view all the answers

What is the onset time for Albuterol via inhalation?

<p>5-15 min</p> Signup and view all the answers

What is the normal dose range for Albuterol?

<p>180 mcg - 32 mg</p> Signup and view all the answers

What lab alterations may be caused by Albuterol?

<p>Decreases potassium</p> Signup and view all the answers

List one indicated use for Albuterol.

<p>Prevention of exercise-induced asthma</p> Signup and view all the answers

What is the action of Albuterol?

<p>Causes bronchodilation by action on B2 receptors</p> Signup and view all the answers

What must be assessed before administering Albuterol?

<p>Respiratory function and vital signs</p> Signup and view all the answers

What is a major side effect of Albuterol?

<p>Tremors</p> Signup and view all the answers

What needs to be done post-administration of Albuterol?

<p>Assess for absence of dyspnea and wheezing</p> Signup and view all the answers

What are the nursing considerations for Albuterol?

<p>Store in light resistance container; do not expose to excessive heat</p> Signup and view all the answers

What interactions should be noted with Albuterol?

<p>Increases digoxin levels</p> Signup and view all the answers

What is a contraindication for using Albuterol?

<p>Hypersensitivity to sympathomimetics</p> Signup and view all the answers

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Study Notes

Albuterol Overview

  • Generic name: Albuterol
  • Trade names: ProAir HFA, ProAir RespiClick, Proventil, Proventil HFA, ReliOn, Salbutamol

Classification and Mechanism

  • Classification: Adrenergic B2-Adrenergic, sympathomimetic, bronchodilator
  • Mechanism of action: Causes bronchodilation by stimulating B2 receptors, increasing cAMP levels that relax smooth muscle; effects include CNS and cardiac stimulation, enhanced diuresis, and gastric acid secretion.

Dosage and Administration

  • Standard dose: 2 puffs (180 mcg) via inhalation
  • Routes of administration: Inhalation (INH), orally (po), nebulization (Neb/IPPB)
  • Timing: Typically taken q4-6 hours as needed
  • Normal dosage range: 180 mcg to 32 mg

Pharmacokinetics

  • Onset of action:
    • PO: 30 minutes
    • INH: 5-15 minutes
  • Peak effect:
    • PO: 2-3 hours
    • INH: 1.5-2 hours
  • Duration of action:
    • PO: 4-6 hours
    • INH: 2-6 hours

Therapeutic Uses

  • Indicated for prevention of:
    • Exercise-induced asthma
    • Acute bronchospasm
    • Bronchitis, emphysema, bronchiectasis
  • Unlabeled uses include:
    • Hyperkalemia in dialysis patients
    • Chronic Obstructive Pulmonary Disease (COPD)

Laboratory Considerations

  • Notable lab alteration: Decreases potassium levels

Nursing Implications

  • Pre-administration assessment criteria:

    • Evaluate respiratory function (vital capacity, ABGs)
    • Monitor lung sounds, heart rate, blood pressure
    • Assess patient's self-medication capability
    • Confirm absence of allergic reactions or signs of paradoxical bronchospasm
  • Hold administration if:

    • Paradoxical bronchospasm or hypokalemia is evident
  • Post-administration expectations:

    • Absence of dyspnea or wheezing
    • Improved airway exchange and ABGs

Side Effects and Adverse Reactions

  • CNS: Tremors, anxiety, insomnia, headache, hallucinations
  • Cardiovascular: Palpitations, tachycardia, angina, dysrhythmias
  • EENT: Dry nose, throat irritation
  • GI: Heartburn, nausea, vomiting
  • Miscellaneous: Flushing, sweating, hypokalemia, muscle cramps, paradoxical bronchospasm

Patient Education

  • Emphasize adherence to prescribed use and management of missed doses
  • Demonstrate inhaler technique, including shaking and priming
  • Warn against using near heat or flames and avoid eye contact with aerosol
  • Instruct to wash inhaler regularly and discard after labeled uses are depleted
  • Advise limiting caffeine intake to reduce stimulation risk

Drug Interactions

  • Increased effects with:
    • CNS stimulants, potassium-losing diuretics, digoxin, other adrenergics, tricyclics, MAOIs
  • Decreased effects when used with:
    • Beta-blockers
  • Possible severe hypotension when combined with oxytocics

Contraindications and Precautions

  • Contraindications: Hypersensitivity to sympathomimetics
  • Precautions for use in patients with:
    • Pregnancy, cardiac/renal issues, hyperthyroidism, diabetes, hypertension
    • Age-related considerations for pediatric asthma management

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