ACP Salbutamol

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Author:
spy187
ID:
42500
Filename:
ACP Salbutamol
Updated:
2010-10-23 18:28:06
Tags:
EMT Drugs ACP Alberta pre hospital care pharmacology Salbutamol
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Flash card for all the details about Salbutamol
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  1. Salbutamol (Canada), albuterol sulfate
    Trade name:
    Ventolin
  2. Salbutamol
    Class:
    • bronchodilator
    • beta2-selective adrenergic agonist (sympathomimetic)
  3. Salbutamol
    Action:
    • Selectively stimulates beta-adrenergic receptors of the lungs, uterus, and vascular smooth muscle
    • Brochodilation results from relaxation of the vascular smooth muscles, which relieves bronchospasm and reduces airway resistance
    • Higher doses will drive serum potassium (K+) into the cells.
  4. Salbutamol
    Indications:
    • Bronchospasm due to bronchial asthma
    • chronic bronchitis and other chronic bronchopulmonary disorders
    • Respiratory distress with bronchospasm
  5. Salbutamol
    Contraindications:
    Hypersensitivity
  6. Salbutamol
    Adverse effects:
    • Often dose-related and include
    • restlessness, tremors dizziness, nausea, vomiting,
    • palpitations, tachycardia, nervousness, peripheral vasodilation,
    • hyperglycemia, increased blood pressure, and paradoxical bronchospasm.
  7. Salbutamol
    Onset:
    5-15 minutes
  8. Salbutamol
    Duration
    Duration: 3-4 hours Peak effect: in 30 minutes to 2 hours
  9. Salbutamol
    Adult Dosage:
    • 2.5 – 5.0 mg nebule – repeat q 10 minutes prn
    • MDI minimum 6 puffs max 20
  10. Salbutamol
    Pediatric Dosage:
    • 0.15 mg/kg diluted to 2.5 ml saline via nebulizer
    • - or -
    • < 10 kg give 1.25 mg with NS to 2.5 ml
    • 10-20 kg give 2.5 mg
    • > 20 kg give 2.5 – 5.0 mg
    • MDI pediatrics minimum 2 puff max 10
  11. Salbutamol
    Route:
    Nebulizer or metered dose inhaler
  12. Salbutamol
    Interactions/Precautions:
    • Should not be used with patients presenting with acute heart failure Cardiovascular disease – cardiac dysrhythmias, hypertension
    • Diabetes mellitus – risk of drug induced hyperglycemia
    • Hypokalemia – risk further reducing serum potassium levels and possible adverse cardiovascular events

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