ALBUTEROL (PROVENTIL) VENTOLIN

Question 1

CLASS

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 IN CYCLIC ADENOSINE MONOPHOSPHATE [AMP])

Question 3

INDICATIONS

Answer 3

• ASTHMA
• EXACERBATION OF COPD
• ANAPHYLAXIS
• NEBULIZER TREATMENT MAY BE INDICATED IN CARDIAC WHEEZE
• INVESTIGATED USE FOR HYPERKALEMIA IN DIALYSIS PATIENTS

Question 4

DOSAGE/ ROUTE

Answer 4

1-3 PUFFS FROM METERED DOSE INHALER OR 2.5-5.0 DILUTED TO 3 CC NS VIA NEBULIZER

OXYGEN LITER FLOW IS USUALLY STARTED AT 6-8 LITERS FOR AERSOL NEBULIZER.

INCREASE LITER FLOW PRN TO MAINTAIN AEROSOL NEBULIZATION OF MED.

CAN ATTACH NEBULIZER TO BOTTOM OF SIMPLE FACE MASK IF O2 CONNECTION PORTION IS REMOVABLE FOR PATIENT UNABLE TO BREATHE INTO MOUTHPIECE OF AEROSOL NEBULIZER.

CAN ATTACH NEBULIZER TO ET TUBE IF PROPER CONNECTION PORT AVAILABLE.

ONSET: 5-15 MINUTES AFTER INHALATION
DURATION: 3-4 HRS AFTER INHALATION

Question 5

STANDARD PREP

Answer 5

METERED DOSE INHALER DELIVERS 90 mcg/metered dose; PROVENTIL SOLUTION 20 ML BOTTLE (5MG/CC) UNIT DOSE OF 2.5 MG IN 3 CC NS.

Question 6

PEDS DOSE

Answer 6

ALBUTEROL 2.5- 5.0 DILUTED FOR NEBULIZER USE

Question 7

CONTRAINDICATIONS

Answer 7

• HYPERSENSITIVITY
• SEVERE CARDIAC DISEASE
• SEVERE TACHYDYSRHYTHMIAS

Question 8

SIDE EFFECTS

Answer 8

• HTN
• TACHYCARDIA
• PALPITATION
• TREMORS
• ANXIETY
• DIZZINESS
• N/V

Question 9

PRECAUTIONS

Answer 9

• CONTINUALLY MONITOR VS, EKG, LUNG SOUNDS

- EXCERCISE CARE IN PRESENCE OF TACHYCARDIA AND HTN