albuterol.txt

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Author:
papeirce
ID:
76494
Filename:
albuterol.txt
Updated:
2011-03-31 17:55:24
Tags:
paramedic medications drugs prehospital albuterol
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Albuterol

    Trade Name
    Proventil
  2. Albuterol

    Class
    • Sympathomimetic
    • Bronchodilator
  3. Albuterol

    Mechanism of Action
    Selective Beta-2 agonist which stimulates adrenergic receptors of the sympathetic nervous system resulting in smooth muscle relaxation in the bronchial tree and peripheral vasculature
  4. Albuterol

    Indications
    • Treatment of bronchospasm in patients with reversible obstructive airway disease (COPD/asthma).
    • Prevention of exercise-induced bronchospasm.
  5. Albuterol

    Contraindications
    • Known prior hypersensitivity reactions to Albuterol.
    • Tachycardia dysrhythmias, especially those caused by digitalis.
    • Synergistic with other sympathomimetics
  6. Albuterol

    Adverse Reactions
    • Often dose-related and include restlessness:
    • Tremors
    • Dizziness
    • Palpitations
    • Tachycardia
    • Nervousness
    • Peripheral vasodilatation
    • Nausea
    • Vomiting
    • Hyperglycemia
    • Increased blood pressure
    • Paradoxical bronchospasm
  7. Albuterol

    Drug Interactions
    • Tricyclic antidepressants may potentiate vasculature effects
    • Beta-blockers are antagonistic
    • May potentiate hypokalemia caused by diuretics
  8. Albuterol

    How Supplied
    Solution for aerosolization: 0.5% (5 mg/ml)
  9. Albuterol

    Dosage and Administration
    Adult
    Administer 2.5 mg. Dilute 0.5 ml of 0.5% solution for inhalation with 2.5 ml normal saline in nebulizer (6LPM) and administer over 10-15 minutes
  10. Albuterol

    Dosage and Administration
    Pediatric
    Administer solution of 0.01 -0.03 ml (0.05 -0.15 mg/kg/ dose diluted in 2 ml of 0.9% Normal Saline. May repeat every 20 minutes three times
  11. Albuterol

    Duration of Action
    • Onset: 5 to 15 minutes
    • Peak Effect: 30 minutes to 2 hours
    • Duration: 3 to 4 hours
  12. Albuterol

    Special Considerations
    • Pregnancy Safety: Category C
    • Antagonized by beta-blockers (e.g., Inderal,Lopressor)
    • May precipitate angina pectoris and dysrhythmias
    • Should only be administered by inhalation methodology in pre-hospital management

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