turbutaline.txt

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Author:
papeirce
ID:
86181
Filename:
turbutaline.txt
Updated:
2011-05-16 18:58:06
Tags:
paramedic medications drugs prehospital terbutaline brethine
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Terbutaline

    Trade Name
    Brethine
  2. Terbutaline

    Class
    Sympathomimetic bronchodilator
  3. Terbutaline

    Mechanism of Action
    • Selective beta-2 adrenergic receptor activity resulting in relaxation of smooth muscles of the bronchial tree and peripheral vasculature.
    • Minimal cardiac effects.
  4. Terbutaline

    Indications
    • Bronchial asthma
    • Reversible bronchospasm associated with exercise, chronic bronchitis, and emphysema.
  5. Terbutaline

    Contraindications
    • Hypersensitivity.
    • Tachydysrhythmias
  6. Terbutaline

    Adverse Reactions
    Usually transient and dose-related, restlessness, apprehension, palpitations, tachycardia chest pain, coughing, bronchospasm, nausea, facial flushing
  7. Terbutaline

    Drug Interactions
    • Cardiovascular effects exacerbated by other sympathomimetics
    • MAOIs may potentiate dysrhythmias
    • Beta blockers may antagonize terbutaline
  8. Terbutaline

    How Supplied
    • MDI: 200 mcg/metered spray.
    • Parenteral: 1 mg/ml ampule
  9. Terbutaline

    Dosage and Administration
    Adult
    • 0.25 mg SC; may repeat in 15-30 minutes to maximum dose of 0.5 mg in 4 hours period.
    • 400 mcg (two inhalations by MDI) every 4-6 hours; allow 1-2 minutes between inhalations
  10. Terbutaline

    Dosage and Administration
    Pediatric
    • Not recommended for children under 12 years of age.
    • 0.01 mg / kg / dose SC every 15-20 minutes PRN to maximum 0.25 mg dose.
    • 0.03 -0.05 mg / kg in 1.25 ml saline for aerosolization every 4 hours
  11. Terbutaline

    Duration of Action
    • Onset: SC: 15-30 minutes; MDI 5-30 minutes
    • Peak effect: Variable
    • Duration: SC: 1.5-4 hours; MDI: 3-6 hours
  12. Terbutaline

    Special Considerations
    • Pregnancy safety:Category B
    • Carefully monitor vital signs
    • Use with caution in patients with cardiovascular disease or hypertension
    • Patient should receive oxygen before and during bronchodilator administration

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