Albuterol Flashcards
Albuterol ( _____, ______)
Proventil, Ventolin
Albuterol Class:
Bronchodilator: Sympathomimetic (beta-2 specific)
Albuterol Action
- Relaxes bronchial smooth muscle by stimulating beta-2 adrenergic receptors
- Produces bronchodilation, relieves bronchospasm, and reduces airway resistance
Albuterol Onset
5 min
Albuterol Peak
1 hour
Albuterol Duration
up to 5 hours
Albuterol Indications
Respiratory Distress (S-136, 167)
- suspected non cardiac (Adult)
- with bronchospasm (Pediatric)
Allergic Reaction/ Anaphylaxis (S-122, 162)
- anaphylaxis w/ respiratory involvement
Burns (S-124, 170)
- respiratory distress with bronchospasm
Hemodialysis Patient (S-131)
- suspected hyperkalemia (with widened QRS complex or peaked T-waves)
Albuterol Dosage/Route
Adult:
6ml (0.083%) via nebulizer SO
MR SO
PEDS:
PDC via nebulizer SO
MR SO
———Hemodialysis———
Adult:
6ml (0.083%) via nebulizer
continuous SO
Albuterol Contraindications
PEDS: avoid for croup/stridor (nebulized saline/epinephrine is indicated)
Albuterol Adverse Effects
- tachycardia / palpitations
- dizziness , headache
- tremors , nervousness
Albuterol Packaging
2.5mg/3ml or 0.083%
Optional: metered dose inhaler (MDI)
Albuterol Administration
- Obtain room air O2 sat prior to Oxygen administration, if possible.
- Use with 4-6 liters of O2 for handheld mouthpiece
- Use with 6-10 liters of O2 for aerosol mask, CPAP and ET tube
Albuterol Cautions & Considerations
- if concerned about aerosolized infectious exposure, substitute with Albuterol MDI (optional ambulance inventory or patient’s own inhaler) if available.
- Consider applying HEPA filters with aerosol-generating procedures for in-line nebulizer treatments.
Albuterol Special info
- continuous nebulized Albuterol is the goal for hyperkalemia and patients in respiratory distress
- Ipratropium is NOT added to Albuterol for hyperkalemia & burn patients
- decreases hyperkalemia associated with dialysis patients by facilitating the movement of potassium back into cells.
