Drug Name Mechanism of Action Indication/Contraindication Adverse Effect Nursing Responsibilities

Generic: Activation of beta2- Indication:

CNS: Restlessness, Dx
Salbutamol adrenergic receptors on Salbutamol is indicated for
airway smooth muscle (i) the symptomatic relief and apprehension, anxiety, -Check and verify with doctor’s
Brand: leads to the activation of prevention of bronchospasm
fear, CNS stimulation, order and Kardex.
Airomir adenyl cyclase and to an due to bronchial asthma,
Combivent increase in the intracellular chronic bronchitis, reversible vertigo, headache, -Observe rights in medication
Proair concentration of cyclic- obstructive airway disease,
weakness, tremors, administration such as giving the
Proventil 3′,5′-adenosine and other chronic
Ventolin monophosphate (cyclic bronchopulmonary disorders drowsiness,insomnia , right drug to the right patient using
Xopenex AMP). in which bronchospasm is a hyperactivity, malaise the right route and at the right
complicating factor, and/or
Class: Reference: (ii) the acute prophylaxis CV: Cardiac arrhythmias, time.
Bronchodilators https://go.drugbank.com/dr against exercise-induced palpitations, -Monitor ECG, serum electrolytes
Adrenergics ugs/DB01001 bronchospasm and other
stimuli known to induce tachycardia,chest pain, and thyroid function test results.
Dosage: bronchospasm. hypertension -Keep room well-lit and see to it
4mg
Containdications: EENT: dry and irritated that client has a person with him
Route: Contraindicated in patients nose and throat with closely in case of vertigo.
Inhalation(Nebuliser) with hypersensitivity
(allergy) to any of the active inhaled form, nasal -Assess lung sounds, PR and BP
substances or the excipients. congestion, epistaxis, before drug administration and
Drug toDrug Interaction: hoarseness during peak of medication.
Acetaminophen Dermatologic: -Assess pulse for rhythm.
-Acetaminophen may
decrease the excretion rate of Sweating, pallor, flushing -Auscultate lungs for presence of
Salbutamol which could result GI: Nausea, vomiting, adventitious breath sounds that
in a higher serum level.
Acetazolamide heartburn, unusual or may signal pulmonary edema,
-Acetazolamide may increase bad taste in the mouth airway resistance or
the excretion rate of
Salbutamol which could result Metabolic: hypokalemia bronchospasm.
in a lower serum level and
Musculoskeletal: muscl -Inspect client’s nail bed and oral
potentially a reduction in
efficacy. e cramps mucosa for pallor.
Amiloride
Respiratory: Tx
-Amiloride may increase the
excretion rate of Salbutamol Respiratory difficulties, -Administer accurately because
which could result in a lower
pulmonary edema, adverse reactions and tolerance
serum level and potentially a
reduction in efficacy. coughing, might occur.
bronchospasm, --Provide oral care or let patient
Drug to Food Interactions
-There are no foods that are paradoxical airway gurgle after inhalation to get rid of
specifically prohibited for resistance with repeated, the unpleasant aftertaste of the
someone taking salbutamol.
excessive use of inhalation.
inhalation preparations, -Raise side rails up because client
Increased sputum might be restless and drowsy
production, dyspnea because of this drug.
bronchitis -Place client in position of comfort
to facilitate optimum rest and
sleep.
Edx
-If prescriber order more than 1
inhalation, tell patient to wait at
least 2 minutes before repeating
procedure.
-Tell patient that use of a spacer
device may improve drug delivery
to lungs
-If patient is also using
corticosteroid inhaler, instruct him
to use the bronchodilators first
then wait about 5 minutes before
using corticosteroids open air
passages for maximum
effectiveness of the
corticosteroids
-Advise client to have small
frequent feedings to avoid
increasing risk of vomiting and
heartburn.