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Trade Name Ventolin
Peak 0.5–2 h
Onset 5–15 min
Classification Dose Route BRONCHODILA 90mcg Inhaled TOR (RESPIRATORY SMOOTH MUSCLE RELAXANT); BETAADRENERGIC AGONIST Duration Normal dosage range 3–6 h 1–2 inhalations q4–6h
Why is your patient getting this medication Being used as PRN for shortness of breath.
For IV meds, compatibility with IV drips and/or solutions
Mechanism of action and indications (Why would this med be ordered) Moderately selective beta2-adrenergic agonist with comparatively long action. Acts prominently on beta2 receptors (particularly smooth muscles of trachea, bronchi, uterus, and vascular supply to skeletal muscles). Inhibits histamine release by mast cells. Produces bronchodilation by relaxing smooth muscles of bronchial tree. Bronchodilation decreases airway resistance, facilitates mucous drainage, and increases vital capacity.
Nursing Implications (what to focus on) Contraindications/warnings/interactions CONTRAINDICATIONS Albuterol or levalbuterol hypersensitivity; congenital long QT syndrome. Use of oral syrup in children younger than 2 CAUTIOUS USE Cardiovascular disease, renal impairment, hypertension, hyperthyroidism, diabetes mellitus, elderly, history of seizures; hypersensitivity to sympathomimetic amines or to fluorocarbon propellant used in inhalation aerosols; pregnancy ( category C). INTERACTIONS With epinephrine, other SYMPATHOMIMETIC BRONCHODILATORS, possible additive effects; MAO INHIBITORS, TRICYCLIC ANTIDEPRESSANTS potentiate action on vascular system; BETAADRENERGIC BLOCKERS antagonize the effects of both drugs. Common side effects Body as a Whole: Hypersensitivity reaction. CNS: Tremor, anxiety, nervousness, restlessness, convulsions, weakness, headache, hallucinations.
•Avoid contact of inhalation drug with eyes.Assessment (Pre-administration assessment) 1. tachycardia. Other: Muscle cramps. Monitor pulmonary function tests. vomiting. bradycardia. Special Senses: Blurred vision.g. pulmonary functions. OTC or herbal medicines (ask patient specifically) Seroquel: There is some concern that quetiapine may have additive adverse cardiovascular effects in combination with other drugs that are known to prolong the QT interval of the electrocardiogram. Lab value alterations caused by medicine Transient small increases in plasma glucose may occur. CNS stimulation. Assessment Why would you hold or not give this med? Undesirable side effects. which may interfere with precision handwork. 3. Be sure to teach the patient the following about this medication •Review directions for correct use of medication and inhaler. take necessary precautions. excitement. GI symptoms. •Lab tests: Periodic ABGs. Nursing Process. nervousness. Assess lung sounds. pulse. Many medications (e. . GI: Nausea. insomnia). •Consult physician about giving last albuterol dose several hours before bedtime. •Notify physician if albuterol fails to provide relief because this can signify worsening of pulmonary function and a reevaluation of condition/therapy may be indicated. •Albuterol can cause dizziness or vertigo. Evaluation Check after giving •Monitor therapeutic effectiveness which is indicated by significant subjective improvement in pulmonary function within 60–90 min after drug administration.Interactions with other patient drugs. if drug-induced insomnia is a problem.. hypotension. •Do not increase number or frequency of inhalations without advice of physician. dilated pupils. Report promptly to physician. and blood pressure before administration and during peak of administration. Observe for wheezing. hoarseness. hypertension. CV: Palpitation. and pulse oximetry. •Monitor for: S&S of fine tremor in fingers. cold remedies) contain drugs that may intensify albuterol action. particularly in children 2–6 y. reflex tachycardia. (hyperactivity. •Do not use OTC drugs without physician approval. 2.