Drug Mechanism of action/Side Indication/ Nursing responsibilities

effects Contraindication

Brand name: Action Indication Baseline assessment

Stimulates beta 2 -adrenergic receptors Assess lung sounds, pulse, B/P, color,
albuterol in lungs, resulting in relaxation of characteristics of sputum noted. Offer
Contraindication emotional support (high incidence of anxiety
bronchial smooth muscle. due to difficulty in breathing and
Generic name: Therapeutic Effect: Relieves
Contraindications: Hypersensitivity sympathomimetic response to drug).
bronchospasm and reduces airway
to albuterol. Severe hypersensitivity Intervention/evaluation
PMS-Salbutamol resistance. Monitor rate, depth, rhythm, type of
to milk protein (powder for
respiration; quality and rate of pulse; EKG;
inhalation).
Classification: Treatment or prevention of serum potassium, glucose; ABG
Cautions: Hypertension, determinations.
bronchospasm due to reversible cardiovascular disease, Assess lung sounds for
PHARMACOTHERAPEUTIC: obstructive airway disease, prevention hyperthyroidism, diabetes, HF, wheezing (bronchoconstriction), rales.
of exercise-induced bronchospasm. convulsive disorders, glaucoma, Patient/family teaching
Sympathomimetic hypokalemia, arrhythmias. • Follow guidelines for proper use of inhaler.
Side Effects • A health care provider will show you know
(adrenergic agonist) to properly prepare and use your medication.
Frequent (27%–4%): Headache, You must demonstrate correct preparation and
injection techniques before using medication.
CLINICAL: Bronchodilator restlessness, nervousness, tremors,
• Increase fluid intake (decreases lung
nausea, dizziness, throat dryness and secretion viscosity).
Route: irritation, pharyngitis, B/P changes • Do not take more than 2 inhalations at any
one time (excessive use may produce
including hypertension, heartburn,
Dosage: 5mg/2.5ml paradoxical bronchoconstriction or decreased
transient wheezing. bronchodilating effect).
• Rinsing mouth with water immediately after
Frequency: q4 Occasional (3%–2%): Insomnia, inhalation may prevent mouth/throat dryness.
asthenia, altered taste. • Avoid excessive use of caffeine derivatives
(chocolate, coffee, tea, cola, cocoa).
Inhalation: Dry, irritated mouth or
throat; cough, bronchial irritation.
Rare: Drowsiness, diarrhea, dry mouth,
flushing, diaphoresis, anorexia.