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9 Cards in this Set

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What are the best-known trade names for albuterol?
Proventil and Ventolin
The International Nonproprietary Name (INN) for albuterol is salbutamol.
What is the functional class of albuterol?
Sympathomimetic bronchodilator
Other sympathomimetic bronchodilators include levalbuterol (Xopenex), terbutaline, metaproterenol (Alupent) and salmeterol (Serevent).
What is the mechanism of action of albuterol?
Causes bronchodilation by action on Bx (pulmonary) receptors by increasing levels of cAMP, which relaxes smooth muscle, produces bronchodilation, CNS, cardiac stimulation, as well as increased diuresis and gastric acid secretion
Beta-2 agonists also cause vasodilation in muscles and the liver, relaxation of uterine muscle and release of insulin.
What are the listed indications for albuterol?
- Bronchospasm
- Patients with reversible obstructive airway disease
Intravenous salbutamol can be used as a tocolytic to relax the uterine smooth muscle to delay premature labor.
What are the listed contraindications for albuterol?
Hypersensitivity
There are many patients who have conditions that contraindicate regular albuterol administration but these do not apply in the emergency setting.
What are the listed precautions for albuterol?
- Consider monitoring peak expiratory flow rates (PEFR)
- Monitor vitals and respiratory status during treatment
Albuterol causes a transient reduction in serum potassium levels, which may have cardiovascular effects.
What are the listed side effects for albuterol?
- Tremors
- Anxiety
- HTN
- Tachycardia
- Headache
- Palpitations
- Seizures
- N/V
- Dizziness
- Rash
Albuterol (rarely) may cause a life-threatening, acute paradoxical bronchospasm.
What are the priority assessments for albuterol?
HR, Pulse Ox and lung sounds before and after administration
BP = increases BP due to vasoconstriction
The chance of life-threatening, acute paradoxical bronchospasm is increased when albuterol is used with beta-blockers.
What is the dosage and route of albuterol?
Adult:
- 2.5mg in 3mL NS via aerosol nebulizer PRN

Pediatric:
- 0.15mg/kg in 2.5-3mL NS via aerosol nebulizer PRN
Albuterol is available as a multi-dose vial which must be diluted prior to inhalation but most people now use nebulizer "bullets".