Drug Cards- Respiratory

Question 1

Albuterol (brand name(s))
Class: 
action: 
indications:
contraindications:
precautions:
dosage:
route:
how often:

Peds: dosage, route

Answer 1

Albuterol (Proventil, Ventolin)
Class: Sympathomimetic bronchodilator
action: Bronchodilator, reduces mucus secretion, pulmonary capillary leaking, and edema in teh lungs
indications: bronchospasm and asthma in COPD
contraindications: -
precautions- patient may experience tachycardia, anxiety, nausea, cough, wheezing, and/or dizziness. Vital signs and breath sounds must be monitored; use caution with elderly
dosage: 2 inhalations- 90 mcg, MDI- (2 sprays) 2.5 mg/3 mL NS nebulized
route: nebulized
how often: 3-6 hrs

Peds:
dosage: 0.15mg/kg in 2.5-3 mL NS nebulized

Question 2

Ipratropium bromide (brand name)
Class: 
action: 
indications:
contraindications:
Precautions:
dosage:
route:
how often:

Peds: dosage, route

Answer 2

Ipratropium bromide (Atrovent)
Class: Anticholinergic
action: Bronchodilator; inhibits acetylcholine receptors
indications: bronchospasm and asthma in COPD and inhaled irritants
contraindications: When used as the primary treatment for acute bronchospasm
precautions: Elderly, cardiovascular disease, HTN
dosage: 500 mcg in 2.5-3 mL NS nebulized (2 sprays MDI)
Peds: 125-250 mcg in 2.5-3 mL NS nebulized (1-2 sprays MDI)”

Question 3

Oxygen
Class: 
action/description: 
indications:
contraindications/ precautions
dosage:
route:
how often:

Peds: dosage, route

Answer 3

Oxygen
Class: oxidizing agent
action/description: It’s an odorless, colorless, tasteless gas, essential for life. It is one of the most important emergency drugs.
indications: Hypoxia or anticipated hypoxia, or in any medical or trauma patient to improve respiratory efficiency
contraindications/precautions: “-/
Chronic obstructive pulmonary disease and very prolonged administration of high concentrations in the newborn.”
dosage: Hypoxia: 100% by inhalation or IPPV.
route:
how often:

Peds: dosage, route

Question 4

Methylprednisolone (brand name)
Class: 
action/description: 
indications: 
contraindications
precautions 
dosage/route for asthma/COPD/anaphylaxis
dosage/route for spinal cord injury

Peds: dosage, route for asthma/COPD/anaphylaxis

Answer 4

Methylprednisolone (Solu-Mederol)
Class: Corticosteroid, antiinflammatory
action/description: it’s a synthetic adrenal corticosteroid, effective as an antiinflarnrnatory and used in the management of allergic reactions and in some cases of shock. It is sometimes used in the treatment of spinal cord injury.
indications: Spinal cord injury, asthma, severe anaphylaxis, COPD.
contraindications: No major contraindications in the emergency setting.
precautions: No major contraindications in the emergency setting.
dosage/route:

“Asthma/COPD/anaphylaxis:
125 to 250 mg IV/IM.

Spinal cord injury:
30 mg/kg IV over 15 min
After 45 min an infusion of 5.4 mg/kg/hr”

Peds: dosage, route:
“Asthma/COPD/anaphylaxis:
1-2 mg/kg/dose IV/IM”