Rhea Mae V.

Valles
BSN-III
Drug Study
Name of Drugs and
Classification
Broncaire Expectorant
(Antiasthmatic & COPD
Preparations)

Indication

Mechanism of Action

Dosage

Adverse Reaction

Expectoration and relief of bronchospasm

in all types of bronchial asthma, chronic,
bronchitis and emphysema.

Act as an expectorant by increasing the

volume and reducing the viscosity of
secretions in the trachea and bronchi.

Adult & Children

>12yr 2-3 tsp. 6-12
1-2tsp BID

Asmacaire
(Antiasthmatic & COPD
Preparations)

Treatment & prevention of bronchial

asthma, bronchitis, emphysema w/
associated reversible airway obstruction.

Salbutamol activates adenyl cyclase, the

enzyme that stimulates the production of
cyclic adenosine-3', 5'-monophosphate
(cAMP). Increased cAMP leads to
activation of protein kinase A, which
inhibits phosphorylation of myosin and
lowers intracellular ionic Ca
concentrations, resulting in smooth
muscle relaxation.

2.5ml

Nursing Consideration

Assessment:
feelings of tension
peripheral vasodilation
Assess patient for previous sensitivity
headaches
reaction to
Assess patient for signs and
symptoms of infection including
characteristics of wounds, sputum,
urine, and stool.
Implementation:
Give deeply in large muscle mass
Shake medication before
administering.
Tremors
Use minimal doses for minimal
Nervousness
periods; drug tolerance can occur
Nausea
with prolonged use.
Vomiting
Maintain a beta-adrenergic blocker
Tachycardia
(cardioselective beta-blocker, such as
Palpitations
atenolol, should be used with
respiratory distress) on standby in
case cardiac arrhythmias occur.
Prepare solution for inhalation by
diluting 0.5 mL 0.5% solution with
2.5 mL normal saline; deliver over 5
15 min by nebulization.
Do not exceed recommended dosage;
administer pressurized inhalation
drug forms during second half of
inspiration, because the airways are
open wider and the aerosol
distribution is more extensive.