Salbutamol Flashcards
1
Q
** Salbutamol**
Drug Class
A
Beta-Adrenergic agonist - A direct acting sympathomimetic which mainly affects Beta 2 adrenoreceptors
2
Q
Salbutamol
Onset
A
2-5 minutes, peak by10 minutes
3
Q
** Salbutamol**
Duration
A
Approx. 16 – 60 minutes
4
Q
Salbutamol
Indications
A
- Bronchospasm and respiratory distress associated with a wheeze:*
- Acute Bronchial Asthma
- Bronchitis
- Smoke inhalation
- Severe allergic / anaphylactic reactions
- Acute Pulmonary Oedema of non-cardiac origin
- Salt Water Aspiration Syndrome (SCUBA divers)
- Chronic Obstructive Pulmonary Disease (COPD)
5
Q
** Salbutamol**
Contraindications
A
- Known hypersensitivity to salbutamol
- Cardiogenic pulmonary oedema
- Age <12 months
6
Q
Salbutamol
Dose
A
MDI with Spacer
Adult/Child > 6 years:
- 4-12 puffs (400-1200 microg), repeat every 20 minutes (or sooner if needed) for the first hour.
- 4 breaths per puff
Paediatric < 6 years:
- 2-6 puffs (200-600 microg), repeat every 20 minutes (or sooner if needed) for the first hour
- 4 breaths per puff
**Nebulised **
* Use 1-2 nebules (5-10 mg in 2.5-5 mL) with 6-8 L/min oxygen in a nebuliser mask
* Give salbutamol via continuous nebulisation in life threatening asthma
* Repeat as necessary
7
Q
** Salbutamol**
Side Effects
A
- Anxiety
- Tachyarrythmias
- Tremors
- Hypokalaemia and metabolic acidosis
