Albuterol (Proventil/Ventolin)

Question 1

Class (3)

Answer 1

• Sympathomimetic
• Beta-2 adrenergic (agonist)
• Bronchodilator

Question 2

Action

Answer 2

Stimulates B2 receptors in the smooth muscle of the bronchial tree=bronchodilation by increasing levels of camp (conversion of ATP to cyclic AMP)

Question 3

Indications (5)

Answer 3

• Asthma
• Exacerbation of COPD
• Anaphylaxis
• Nebulizer tx may be indicated in cardiac wheeze
• Investigational use for hyperK in dialysis pt

Question 4

Dosage/Route

Answer 4

• 1-3 puffs from metered dose inhaler
• 2.5-5.0 mg diluted to 3 cc NS via neb–O2 liter flow is usually started at 6-8 liters for aerosolized neb
• Onset: 5-15 min after inhalation
• Duration: 3-4 hrs after inhalation

Question 5

Standard Prep

Answer 5

• Metred dose inhaler delivers 90 mcg/metered dose

- Proventil solution 20 mL bottle (5 mg/cc), unit dose 2.5 mg in 3 cc NS

Question 6

Peds dose

Answer 6

Albuterol 2.5-5.0 mg diluted for neb use

Question 7

Contraindications (3)

Answer 7

• Hypersensitivity
• Severe cardiac disease
• Severe tachdysrhythmias

Question 8

Side Effects (7)

Answer 8

• HTN
• Tachycardia
• Palpitations
• Tremors
• Anxiety
• Dizziness
• N&V

Question 9

Precautions

Answer 9

• Continually monitor VS, EKG, LS

- Exercise care in presence of tachycardia and HTN