Albuterol Sulfate

Question 1

Albuterol Sulfate Trade Name

Answer 1

Proventil, Ventolin

Question 2

Albuterol Sulfate Classification

Answer 2

Medscape: Beta-2 Agonist, Sympathomimetic

Question 3

Albuterol Sulfate Mechanism

Answer 3

Medscape:
Beta2 receptor agonist with some beta1 activity; relaxes bronchial smooth muscle with little effect on heart rate

Capital:
Selectively binds to β-2 adrenergic receptors to cause smooth muscle relaxation in bronchioles, which in turn causes bronchodilation

Question 4

Albuterol Sulfate Onset of Action

Answer 4

Capital: 5-15 minutes

Question 5

Albuterol Sulfate Duration of Action

Answer 5

Capital: 3-4 hours

Question 6

Albuterol Sulfate Indications

Answer 6

Capital:
Bronchospasm. Can be combined with ipratropium bromide to create a DuoNeb.

CT Protocols:
Respiratory distress with bronchospasm.
Moderate to severe hyperkalemia

Question 7

Albuterol Sulfate Contraindications

Answer 7

Capital:
Hypersensitivity, Tachydysrhythmia, Relatively contraindicated in extreme tachycardia and hypertension

CT Protocols: Hypersensitivity

Question 8

Albuterol Sulfate Side Effects/ Precautions/ Comments

Answer 8

Capital:
Headache, Tachycardia, Hypertension, Palpitations, Increased myocardial oxygen demand, Nausea/vomiting, Chest pain, Cough, Tremors, Dry mouth, Anxiety

Synergistic effect with other sympathomimetics
β-blockers may blunt effects

Question 9

Albuterol Sulfate Adult Dose

Answer 9

CT Protocols:
Allergic Reaction/Anaphylaxis
2.5 mg via nebulizer; May repeat 2.5 mg via nebulizer,
repeat every 5 minutes (4 doses total)

Asthma/COPD/RAD
* 4-6 puffs per dose of MDI; May repeat every 5 minutes, as needed.
* Initial treatment should be 2.5 mg albuterol and .5mg ipratropium (DuoNeb); May repeat every 5 minutes (3 doses total).
* Following 3 DuoNeb treatments, 2.5 mg albuterol via nebulizer every 5 minutes, as needed.

Hyperkalemia
2.5 mg via nebulizer. Repeat continuously up to a max total of 20mg.

Capital:
2.5 mg in 2.5 ml NS (total 3 doses) via nebulizer with 6-8 lpm oxygen

Question 10

Albuterol Sulfate Pediatric Dose

Answer 10

Capital:
2.5 mg in 2.5 ml NS (total 3 doses) via nebulizer with 6-8 lpm oxygen

Question 11

Albuterol Sulfate
Max Dose Adult (Pediatric)

Answer 11

??

Question 12

Albuterol Sulfate Routes of Administration

Answer 12

Nebulizer

Question 13

Albuterol Sulfate How Supplied

Answer 13

0.5%: 5mg/ml (eye dropper bottle)
0.083%: 2.5mg/3ml (bullet)