Albuterol Sulfate

Question 1

Class

Answer 1

Sympathomimetic

Bronchodilator

Question 2

Mech of action

Answer 2

B agonist (primarily B2) relaxes bronchial smooth muscle, resulting in bronchodilation; also relaxes vascular and uterine smooth muscle; decrease his airway resistance

Question 3

Indications

Answer 3

Bronchospasm

Hyperkalemia

Question 4

Contraindications

Answer 4

Synergistic with other sympathomimetics

Use caution in patients with diabetes, hyperthyroidism, and cerebrovascular disease

Question 5

Adverse reactions

Answer 5

CV: dysrhythmias, tachycardia (with excessive use)
Peripheral vasodilation
RESP: bronchospasm (rare paradoxical with excessive use)
CN: tremors, nervousness

GI: nausea, vomiting

ENDOCRINE: hyperglycemia

Question 6

Adult dose

Ped dose

Answer 6

Give 2.5 mg of premixed solution for inhalation (.083%) via SVN with a mouthpiece, or in line with a ventilatory device. Repeated according to medical control preference

Give 2.5 mg of premixed solution for inhalation(.083%) via SVN with a mouthpiece, mask, or in line with a ventilatory device. Repeat it according to medical control preference. May administer up to 5 mg produce according to medical control preference

Question 7

Route

Onset

Answer 7

Nebulize, mouthpiece for in line via mask
Inhaler patient own
ET/NT in line

5-15 min

Question 8

Dosage form

Answer 8

2.5 mg albuterol premixed in 3 ml NS

Question 9

Incompatibilities/drug interactions

Answer 9

Tricyclic antidepressants (TCA’s)and monoamine oxidase (MAO)inhibitor’s

Other sympathomimetics (relative)

Question 9

Peak effects

Duration of action

Arizona drug box minimum supply

Special notes

Answer 9

30 minutes – two hours

3 to 4 hours

10 mg

Must be sulfite free