Salbutamol Flashcards

1
Q

Salbutamol

Presentation

A
•	Salbutamol nebules
5mg in 2.5mL
•	Metered Dose Inhaler (MDI)
100mcg per puff
.
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2
Q

Salbutamol

Use

A

Bronchospasm and respiratory distress associated with wheeze:
• Acute Bronchial Asthma
• Bronchitis
• Smoke inhalation
• Severe allergic / anaphylactic reactions
• Acute Pulmonary Oedema of non-cardiac origin
• Salt Water Aspiration Syndrome (SCUBA divers)
.

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3
Q

Salbutamol

Type

A

.• Short acting Beta 2 stimulant that causes relaxation of bronchial smooth muscle (bronchodilation

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4
Q

Salbutamol

Dose

A

MDI / Space chamber as per Clinical Skill
• Press once firmly on the MDI to discharge 1 puff into the spacer
• Instruct the patient to take 4 breaths in and out
• Repeat 1 puff at a time until 4 puffs have been taken
• Repeat every 4 minutes as clinically required
Nebulised as per Clinical Skill
• Use one to two nebules (5mg in 2.5ml) with 6-8L/min oxygen
• Give salbutamol via continuous nebulisation in life threatening asthma
• Repeat as clinically required
.

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5
Q

Salbutamol

Actions

A

Initial effect 2-5 minutes maximum by 10 minutes.

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6
Q

Salbutamol

Contraindications

A
  • Known hypersensitivity to Salbutamol
  • Cardiogenic Pulmonary Oedema
  • Age <12 months
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7
Q

Salbutamol

Adverse effects

A
  • Muscle tremor

* Tachycardia

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8
Q

Salbutamol

Precautions

A

.spacer / MDI is the preferred route for Salbutamol administration where the patient presents with influenza like illness.
• The use of a Multi Dose Inhaler (MDI) and spacer is equally as effective as nebulisation, in all asthma situations, where the patient is still able to adequately inhale.
• Use of a nebuliser is recommended where the patient loses this ability.
• Ambulance Transport Officers (ATO) are only authorised to use Salbutamol MDI in a known asthmatic patient with respiratory distress.
• If hypoxic, nebulise Salbutamol in preference to MDI, to address both hypoxia and bronchospasm. The nebulised route also makes it possible to administer Ipratropium Bromide simultaneously.

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