albuterol/ beta 2 adrenergic agonists Flashcards

1
Q

what is the category class of the drug Albuterol

A

beta 2 adrenergic agonists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the expected pharmacological action of beta 2 adrenergic agonists

A

acts by selectively activating the beta 2 receptors in the bronchial smooth muscle, resulting in bronchodilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the route and onset of the drug albuterol when inhaled

A

inhaled; short-acting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the results when beta 2 adrenergic agonists activate beta 2 receptors

A

bronchospasm is relieved
histamine release is inhibited
ciliary motility is increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the route and onset for albuterol when taken orally

A

oral- long-acting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the complications of albuterol

A

tachycardia (fast HR)
angina (chest pain)
tremors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how can oral agents of albuterol cause tachycardia and angina

A

oral agents of albuterol activate alpha 1 receptors in the heart which may cause tachycardia and angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

if a patient is experiencing tachycardia and angina when taking albuterol what nursing action may need to take place

A

albuterol dosage may need to be reduced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

because albuterol can cause tachycardia and angina what symptoms should the patient observe and when should they notify the provider

A

if they observe chest, jaw, or arm pain or palpitations they should call the provider if they occur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what should a patient check while taking albuterol

A

check pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

a patient taking albuterol checks their pulse, when should they report

A

if the pulse rate is greater than 20 to 30 per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what drink should be avoided when taking albuterol

A

caffeine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

why can albuterol cause tremors

A

activates beta 2 receptors in the skeletal muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

if a patient reports tremors while taking albuterol what should you tell them

A

tremors usually resolve with continued medication use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

if tremors while taking albuterol continues what may need to happen

A

dosage may need to be reduced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

precautions when using albuterol

A

pregnancy (safety isn’t established)
lactation (safety isn’t established)

17
Q

contraindications for albuterol

A

patients with tachydysrhythmias; diabetes mellitus; hyperthyroidism; heart disease; hypertension and angina

18
Q

drug interactions with albuterol

A

beta- adrenergic blockers
MAOIs
tricyclic antidepressants

19
Q

why should you not take albuterol with a beta adrenergic blocker

A

it will negate the effects of both medications

20
Q

what should you tell the patient about taking albuterol with a beta adrenergic blocker

A

don’t take concurrently

21
Q

why should MAOIs and tricyclic antidepressants not be taken with albuterol

A

can increase risk of tachycardia and angina

22
Q

if a patient is taking MAIOs and tricyclic antidepressants with albuterol what changes should they report

A

report changes in heart rate and chest pain

23
Q

how should a client take their medication if they are taking an inhaled beta-2 agonist and an inhaled glucocorticoid

A

take the beta 2 agonist first and then the glucocorticoid

24
Q

why should a client take the inhaled beta 2 agonist first and then the inhaled glucocorticoid

A

beta 2 agonist promotes bronchodilation and enhances absorption of the glucocorticoid

25
Q

short acting beta 2 agonists is used to treat what type of episode

A

acute episode

26
Q

client education on taking albuterol ( beta 2 adrenergic agonist)

A

follow manufacturers instructions for use of metered dose inhaler (MDI) dry powder inhaler (DPI) and nebulizer

do not exceed prescribed dosages

know the dosage schedule ( if the medication is to be taken on a fixed or as-needed schedule)

observe for indications of impeding asthma episode and keep a log of the frequency and intensity of exacerbations

notify the provider if there is an increase in frequency and intensity of asthma exacerbations

27
Q

nursing evaluation of effectiveness of albuterol (beta 2 adrenergic agonist)

A

long-term control of asthma

prevention of exercise-induced asthma

resolution of asthma exacerbations ——–

as evidenced by absence of shortness of breath, clear breath sounds, absence of wheezing and return of respiratory rate to baseline

28
Q

what are the other names for the drug albuterol

A

Proventil
Ventolin

29
Q

inhaled- short acting is used for

A

is used to prevent exercise-induced asthma episode
and treatment of bronchospasm and asthma

30
Q

oral- long acting is used for

A

long term control of asthma