Albuterol and Atrovent

Question 1

Pharm. and Action

Answer 1

A potent relatively selective beta 2- adrenergic bronchodilator; Has occasional beta 1 overlap with clinically significant cardiac effects

Question 2

Indications

Answer 2

Bronchial Asthma; Reversible bronchial spasm that occur with COPD

Question 3

Contraindications

Answer 3

Stop treatment if pulse increases by 20 bpm, frequent PVCs develop, any tachyarrhythmias other than sinus tach appear, chest pain, apnea, nausea or vomiting, or increased shortness of breath occur

Question 4

Administration

Answer 4

Nebulizer dosage for adults and children over 1 year- 2.5 mg mixed in 3 ml of saline for a concentration of 0.83 mg/ml; Infants under 1 year- nebulizer dosage 0.03 ml/kg max done 1 ml; Nebulization- Oxygen flow should be set to 6 LPM, patients should inhale slowly and exhale passively through the nose

Question 5

Side effects and special notes

Answer 5

Patients with COPD should be monitored carefully for CO2 retention and decreased LOC; Paradoxical bronchospasm may occur with excessive administration; skeletal muscle tremors; albuterol should be used with caution in pregnancy; continually assess the patient’s respiratory rate, effort, and lung sounds.

Question 6

Class

Answer 6

A