Bronchodilator - Albuterol Flashcards

1
Q

What is the recommended dose range for nebulized Albuterol in adults?
(Select all that apply)

A. 2.5-5 mg nebulized, which is equivalent to 2 puffs
B. 2.5-5 mg nebulized every 4 hours
C. 10-15 mg nebulized per hour
D. 2.5 mg per dose

A

A. 2.5-5 mg nebulized, which is equivalent to 2 puffs

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2
Q

What is the recommended dose range for nebulized Albuterol in adults with severe bronchospasm?
(Select all that apply)

A. 2.5-5 mg every 4 hours
B. 2 puffs every 4 hours
C. 10-15 mg per hour
D. 0.5 mg/kg/dose

A

C. 10-15 mg per hour

-Adults: 2.5-5 mg nebulized = 2 puffs or 10-15 mg/h nebulized in severe bronchospasm

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3
Q

Which of the following are correct dosing guidelines for nebulized Albuterol in pediatric patients?
(Select all that apply)

A. For children under 2 years old: 0.5 mg/kg/dose
B. For children 2-12 years old: 1-2.5 mg per dose
C. For children 2-12 years old: 5 mg per dose
D. For children under 2 years old: 2.5 mg per dose

A

A. For children under 2 years old: 0.5 mg/kg/dose

B. For children 2-12 years old: 1-2.5 mg per dose

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4
Q

What is the primary mechanism of action of Albuterol?
(Select all that apply)

A. Beta-1 agonism leading to increased heart rate
B. Beta-2 agonism leading to bronchial smooth muscle relaxation
C. Stimulation of adenylyl cyclase
D. Decrease in cyclic AMP (cAMP) levels

A

B. Beta-2 agonism leading to bronchial smooth muscle relaxation
C. Stimulation of adenylyl cyclase

MOA: Beta-2 agonist; stimulation of adenylyl cyclase = inc cAMP = bronchial smooth muscle relaxation and cellular reuptake of K+

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5
Q

MOA: How does Albuterol lead to bronchial smooth muscle relaxation?
(Select all that apply)

A. By decreasing cyclic AMP (cAMP) levels
B. By stimulating adenylyl cyclase
C. By increasing cyclic AMP (cAMP) levels
D. By promoting cellular reuptake of potassium (K+)

Answer: B, C, D

A

Answer: B, C, D

MOA: Beta-2 agonist; stimulation of adenylyl cyclase = inc cAMP = bronchial smooth muscle relaxation and cellular reuptake of K+

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6
Q

What is the typical onset time for Albuterol when administered via nebulization?
(Select all that apply)

A. 1-2 minutes
B. 2-5 minutes
C. 10-15 minutes
D. 30 minutes

A

B. 2-5 minutes

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7
Q

What is the usual duration of action for Albuterol?
(Select all that apply)

A. 1-2 hours
B. 3-6 hours
C. 6-8 hours
D. 12 hours

A

B. 3-6 hours

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8
Q

What is the half-life of Albuterol?
(Select all that apply)

A. 1-2 hours
B. 3-4 hours
C. 6 hours
D. 8 hours

A

C. 6 hours

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9
Q

How is Albuterol primarily eliminated from the body?
(Select all that apply)

A. Hepatic metabolism
B. Renal excretion
C. Fecal excretion
D. Pulmonary excretion

A

A. Hepatic metabolism
B. Renal excretion

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10
Q

For which of the following conditions is Albuterol used as a treatment?
(Select all that apply)

A. Bronchospasm
B. Acute hyperkalemia
C. Chronic hypertension
D. Acute myocardial infarction

A

A. Bronchospasm
B. Acute hyperkalemia

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10
Q

What is the contraindication for using Albuterol in children under 2 years old?
(Select all that apply)

A. A nebulized dose of 1 mg/kg is considered safe for this age group.
B. A nebulized dose of 1 mg/kg can be toxic in children under 2 years old.
C. Albuterol is contraindicated for children under 2 years old regardless of dose.
D. Dosing should be adjusted to avoid toxicity in this age group.

A

B. A nebulized dose of 1 mg/kg can be toxic in children under 2 years old.

What is the contraindication for using Albuterol in children under 2 years old?

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11
Q

What is a key precaution to consider when administering Albuterol in the operating room?
(Select all that apply)

A. Albuterol delivery is highly efficient, with nearly 100% reaching the respiratory tract.
B. Only 20% of the Albuterol administered actually reaches the respiratory tract.
C. A 60 mL syringe and 6-8 puffs may be needed to effectively deliver Albuterol past the endotracheal tube (ETT).
D. Albuterol can be effectively delivered without adjustments in the ventilator circuit.

A

B. Only 20% of the Albuterol administered actually reaches the respiratory tract.

C. A 60 mL syringe and 6-8 puffs may be needed to effectively deliver Albuterol past the endotracheal tube (ETT).

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12
Q

Which of the following are common side effects of Albuterol?
(Select all that apply)

A. Tachycardia
B. Hypokalemia
C. Hypertension
D. Bradycardia

A

A. Tachycardia
B. Hypokalemia

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