Respiratory Drugs

Question 1

Albuterol (Proventil, Ventolin)

Answer 1

INDICATIONS- Bronchoconstriction, asthma, COPD, CHF, bronchitis, bronchospasm, hyperK+

CONTRAINDICATIONS- Tachycardia, dysrhythmias (especially digitalis), synergistic w/ sympathomimetics, angioedema

DOSAGES- 2.5mg in 3mL

Question 2

Diphenhydramine (Benadryl)

Answer 2

INDICATIONS- Allergic reactions, anaphylaxis, hives, motion sickness, hay fever, relief of acute dystonia, phenothiazine OD

CONTRAINDICATIONS- Acute asthma, cardiac hx, pregnancy, hypertension, infants, pts taking MAOIs.

DOSAGES- 25-50mg IM/IV/PO

Question 3

Ipratropium Bromide (Atrovent)

Answer 3

INDICATIONS- Asthma, COPD, bronchospasm

CONTRAINDICATIONS- Hypersensitivity to soybeans, peanuts, alkaloids, & atropine. Bladder neck obstruction.

DOSAGES- 0.5mg in 3mL

Question 4

Glucagon

Answer 4

Smooth muscle relaxant (off label), FBAO

1mg/3mL IM

Question 5

Magnesium Sulfite

Answer 5

Bronchodilator

2mg over 10 min.

Question 6

Oxygen

Answer 6

NC: 2-6LPM
NRB: 10-15LPM
BVM: High flow
ETT: High flow

Question 7

Epinephrine Racemic (Micronefrin)

Answer 7

INDICATIONS- Bronchial asthma, prevention of bronchospasm, croup, laryngotracheobronchitis, laryngeal edema

CONTRAINDICATIONS- Hypertension, respiratory weakness, palpitations, tachycardia, dysrhythmias, nausea, vomiting, tremors

DOSAGES- MDI: 2-3 inhalations repeat every 5 min. PRN SOLUTION: dilute 5mL (1%) in 5mL NS, administer over 15 min.

Question 8

Methylprednisolone Sodium Succinate (Solu-Medrol)

Answer 8

INDICATIONS- Acute spinal cord trauma, anavhyhylaxis asthma, COPD, bronchodilator for unresponsive

CONTRAINDICATIONS- Premature infants, systemic

DOSAGES- Acute spinal cord trauma: 30mg/kg IV over 30 min. followed by infusion: 5.4mg/kg/h. Asthma/COPD/anaphylaxis: 1-2mg/kg IV