Questions and Answers
What is the therapeutic class of Albuterol?
What is the pharmacologic class of Albuterol?
Short-Acting Beta2-Adrenergic Agonist
Which of the following are other drugs in the class of Albuterol? (Select all that apply)
What is the pregnancy category of Albuterol?
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What are some uses of Albuterol? (Select all that apply)
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What action does Albuterol perform?
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What routes can Albuterol be administered?
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Which conditions are contraindications for using Albuterol? (Select all that apply)
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What are some possible adverse effects of Albuterol? (Select all that apply)
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What should be avoided due to potential drug interactions with Albuterol? (Select all that apply)
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How should an overdose of Albuterol be treated?
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What nursing implications should be considered when administering Albuterol?
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Study Notes
Albuterol (Proventil) Overview
- Therapeutic class: Bronchodilator
- Pharmacologic class: Short-Acting Beta2-Adrenergic Agonist
Class Comparison
- Other short-acting drugs include Levalbuterol (Xopenex)
- Long-acting alternatives:
- Formoterol (Foradil, Perforomist)
- Salmeterol (Serevent)
- Terbutaline (Brethine)
Pregnancy and Usage
- Classified as Pregnancy Category C
- Primary uses include:
- Prevention of exercise-induced asthma
- Termination of acute bronchospasm
- Long-term asthma control (LABAs for prophylaxis)
Mechanism of Action
- Selectively activates Beta2 receptors in bronchial smooth muscle
- Results in bronchodilation and relief from bronchospasm
- Inhibits histamine release and enhances ciliary motility
Administration Routes
- Available via inhalation and orally (PO)
Contraindications
- Not recommended for patients with:
- Tachydysrhythmia
- Diabetes
- Hyperthyroidism
- Heart disease
- Hypertension (HTN)
- Angina
- Hypersensitivity
Adverse Effects
- Common side effects:
- Headache, dizziness, tremor, and nervousness
- Palpitations and throat irritation
- Potential for drug tolerance and tachycardia
- Serious risks: dysrhythmia, angina, hypokalemia, hyperglycemia
- Possible paradoxical bronchospasm and hypersensitivity reactions
Drug Interactions
- Additive effects when combined with sympathomimetics like epinephrine
- Beta blockers may negate therapeutic effects
- MAOIs and TCAs increase risk of tachycardia and angina
- Caffeine can cause nervousness, tremors, and palpitations
Overdose Treatment
- Administer cardioselective beta blocker for symptoms of exaggerated sympathetic activation, such as dysrhythmia and hyperglycemia
Nursing Implications
- Instruct patients to use bronchodilator before anti-inflammatories for optimal corticosteroid absorption
- Alert provider if drug use increases, indicating potential tolerance
- Advise against using anticholinergics, LABAs, and corticosteroids for acute symptoms
- Teach correct inhaler usage and timing (2-3 minutes between puffs, 5 minutes for other aerosols)
- Monitor respiratory status and vital signs regularly
- Maintain a log of asthma attack durations
- Educate on peak expiratory flowmeter use and non-pharmacologic management strategies
- Ensure the patient has a clear understanding of dosage regimen, avoiding excess doses
- Promote awareness of potential adverse effects and ensure proper use of spacers when necessary
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Description
Test your knowledge about Albuterol (Proventil) with these flashcards. Learn about its therapeutic and pharmacologic classes, compare it with other drugs in its class, and understand its pregnancy category. Enhance your understanding of this essential bronchodilator.
