Bronchodilator - Albuterol Flashcards
What is the recommended dose range for nebulized Albuterol in adults?
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. 2.5-5 mg nebulized, which is equivalent to 2 puffs
What is the recommended dose range for nebulized Albuterol in adults with severe bronchospasm?
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
C. 10-15 mg per hour
-Adults: 2.5-5 mg nebulized = 2 puffs or 10-15 mg/h nebulized in severe bronchospasm
Which of the following are correct dosing guidelines for nebulized Albuterol in pediatric patients?
(Select 2)
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. For children under 2 years old: 0.5 mg/kg/dose
B. For children 2-12 years old: 1-2.5 mg per dose
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
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+
MOA: How does Albuterol lead to bronchial smooth muscle relaxation?
(Select 3)
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
MOA: Beta-2 agonist; stimulation of adenylyl cyclase = inc cAMP = bronchial smooth muscle relaxation and cellular reuptake of K+
What is the typical onset time for Albuterol when administered via nebulization?
A. 1-2 minutes
B. 2-5 minutes
C. 10-15 minutes
D. 30 minutes
B. 2-5 minutes
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
B. 3-6 hours
What is the half-life of Albuterol?
A. 1-2 hours
B. 3-4 hours
C. 6 hours
D. 8 hours
C. 6 hours
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. Hepatic metabolism
B. Renal excretion
For which of the following conditions is Albuterol used as a treatment?
A. Bronchospasm
B. Acute hyperkalemia
C. Chronic hypertension
D. Acute myocardial infarction
A. Bronchospasm
B. Acute hyperkalemia
What is the contraindication for using Albuterol in children under 2 years old?
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.
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?
What is a key precaution to consider when administering Albuterol in the operating room?
(Select 2)
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.
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).
Which of the following are common side effects of Albuterol?
(Select 2)
A. Tachycardia
B. Hypokalemia
C. Hypertension
D. Bradycardia
A. Tachycardia
B. Hypokalemia