Download Albuterol (Proventil)

MEDICATION
Student Name: __Martha Johnson____________________
Client Allergies: Niacin
DRUG
Generic:
Albuterol
sulfate
DOSAGE
ROUTE &
FREQUENCY
Client:
Inhale one
ampule every 6
hours (2.5 MG)
Brand:
Proventil
Onset:5-15
min
Peak: 30-120
min
Duration: 2-6
hr
FLUID
TYPE
Primary:
N/A
CLASSIFI
CATION
Pharmacologic
Classification:
Adrenergic
bronchodilator
Date of Care:__7/18/11
PURPOSE OF
DRUG
(Indication)
Specific to the
Client:
Bronchospasm
_ Isotonic
_ Hypotonic
_ Hypertonic
Usual:
Adults: 2.5 mg
t.i.d. or q.i.d. by
nebulizer, given
over 5 to 15
minutes. Use 3
ml of 0.083%
solution
Secondary:
N/A
MAJOR
NURSING
IMPLICATIONS
Adverse Reactions (3):
Respiratory: bronchospasm, cough,Wheezing, dyspnea,
Bronchitis, increased sputum
CV: tachycardia, Palpitations, Hypertension
MATH
CALCU
LATIO
NS
gtt/min:
N/A
mL/hr:
Action (patho):
Relaxes bronchial,
uterine, and vascular
smooth muscle by
stimulating beta2
receptors
Usual:
To prevent or
treat
bronchospasm in
patients with
reversible
obstructive
airway disease
RR = 16
HR - 105
Interactions: (2)
CNS stimulants: May increase CNS stimulation.
MAO inhibitors, tricyclic antidepressants: May increase
adverse CV effects.
Effects on Labs: (all)
May decrease potassium level
Nursing
Considerations (3):
Drug may decrease sensitivity of spirometry used for
diagnosis of asthma.
Patient may use tablets and aerosol together. Monitor
these patients closely for signs and symptoms of
toxicity.
The HFA form uses the propellant hydrofluoroalkane
(HFA) instead of chloroflurocarbons.
Client Teaching(1):
Warn patient about risk of paradoxical bronchospasm
and to stop drug immediately if it occurs.
Antidote:
None listed.
Black Box Warning:
None listed.
References: Lippincott, Williams, & Wilkins. (2010). Nursing 2011 drug handbook, 31 ed. Philadelphia: Wolters Kluwer.
N/A
Push
rate:
N/A
Dilution
:
N/A
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