Paramedic Drug Administration albuterol sulfate

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Questions and Answers

What is the standard supply form of albuterol sulfate?

Inhaler
Tablets
Syrup
Premixed solution in a unit dose (correct)

What is the mechanism of action of albuterol sulfate?

Constricts bronchial smooth muscle resulting in bronchoconstriction
Stimulates bronchial mucus production resulting in airway obstruction
Blocks neurotransmitters in the airways resulting in decreased airflow
Relaxes bronchial smooth muscle resulting in bronchodilation, some beta-1 activated receptors overlap with significant cardiac effects such as tachycardia, shifts potassium intracellular, resulting in lower serum potassium. (correct)

What is the route of administration for albuterol sulfate?

Oral
Intravenous
Nebulized for inhalation (correct)
Subcutaneous

What are the indications for albuterol sulfate?

Bronchospasm, hyperkalemia (C) Signup and view all the answers

Which adverse reaction/side effects are associated with albuterol sulfate?

Tachycardia, hypertension, dysrhythmias, muscle tremors, palpitations, chest pain, sweating, dizziness, nervousness, anxiety, headache, nausea, vomiting. (B) Signup and view all the answers

What should be avoided when using albuterol sulfate?

Using other bronchodilators without medical advice (A) Signup and view all the answers

What is the onset of action of albuterol sulfate?

5 to 15 minutes (B) Signup and view all the answers

What drug may be used in conjunction with albuterol sulfate?

Ipratropium bromide (Atrovent®) (B) Signup and view all the answers

What is the adult dosage of albuterol sulfate via small volume nebulizer for anaphylaxis and bronchospasm?

5 mg nebulized. Repeat as needed for bronchospasm. (B) Signup and view all the answers

What is the absolute contraindication for albuterol sulfate?

Albuterol allergy. Relative contraindications include tachycardia, tachydysrhythmias or anginal chest pain. (A) Signup and view all the answers

What is the peak effect of albuterol sulfate?

1 to 1½ hours (B) Signup and view all the answers

What is the duration of action of albuterol sulfate?

3 to 6 hours (D) Signup and view all the answers

What is the class of albuterol sulfate?

Sympathomimetic, beta 2 adrenergic agonist, beta 2 adrenergic bronchodilator (D) Signup and view all the answers

What is the trade name of albuterol sulfate?

Ventolin/ Proventil (C) Signup and view all the answers

What is the adult albuterol dosage for hyperglycemia and extremity trauma with signs of hyperkalemia and chemical burns with hydrofluoric acid?

1 g IV/IO over 5 minutes, ensure IV/IO patency and do not exceed 1mL/minute; Albuterol 5 mg nebulized. (C) Signup and view all the answers

What is the pediatric albuterol dosage for hyperglycemia, extremity trauma with signs of hyperkalemia, and chemical burns with hydrofluoric acid?

Calcium chloride 20 mg/kg (0.2 mL/kg) IV/IO, ensure patency and do not exceed 1 mL/minute; Albuterol 5 mg nebulized. (B) Signup and view all the answers

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Study Notes

Adenosine is used for asthma, bronchospasm, and hyperkalemia
Adult dosage: 6.0 mg rapid bolus, pediatric dosage: 0.1 mg/kg (up to 6.0 mg)
If no response to initial bolus, adult can receive 12 mg, and pediatric can receive 0.2 mg/kg (up to 12 mg)
Adverse reactions of adenosine include tachycardia, hypertension, and dysrhythmias
Albuterol sulfate is a beta2 agonist bronchodilator used for asthma and bronchospasm
Albuterol sulfate has an onset of action at 5 to 15 minutes
Adult dosage for albuterol sulfate is 2.5 mg in 3.0 mL via nebulizer, can be repeated
Albuterol sulfate can be used in conjunction with ipratropium bromide