Inhaled Short Acting B2 Agonists Flashcards
(increase cAMP, antagonizes bronchoconstriction which leads to smooth muscle relaxation)
1
Q
Albuterol - brand names
A
ProAir
Ventolin
Proventil
ProAir Respiclick
ProAid Digihaler
2
Q
Albuterol - dosage forms/dose
A
MDI: 90mcg/inhalation
Aerosol Powder Inhalation: 90mcg
Nebulizer Solution
3
Q
Albuterol - counseling tips
A
- chronic use (>2x a day) indicated poor asthma control
- May mix nebulizer solution with cromolyn solution, budesonide inhalant suspension, or ipratropium solution
- In mild to moderate exacerbations, MDI plus valved holding chamber is as effective as nebulized therapy with appropriate administration technique and coaching by trained personnel
4
Q
Albuterol - adverse effects
A
AE: tachycardia, tremor, hypokalemia, irritability
5
Q
Albuterol - general dosing
A
- 2 inhalations 5 minutes before exercise
- 2 inhalations Q4-6h prn
6
Q
Levalbuterol HFA - brand names
A
Xopenex
7
Q
Levalbuterol HFA - dosage forms/dose
A
MDI: 45 mcg/inhalation
Nebulizer solution
8
Q
Levalbuterol HFA - counseling tips
A
- reserved for patients who do not respond to albuterol for quick relief
- nebulizer solution compatible with budesonide inhalant suspension
- levalbuterol administered in 1/2 the mg dose of albuterol provides comparable efficacy and safety
- has not been evaluated by continuous nebulization
9
Q
Levalbuterol HFA - adverse effects
A
AE: tachycardia, tremor, hypokalemia, irritability
10
Q
Levalbuterol HFA - general dosing
A
- 2 inhalations 5 minutes before exercise
- 2 puffs Q4-6h prn
