ALBUTEROL SULFATE

Question 1

Generic Name?

Answer 1

Albuterol Sulfate

Question 2

Mechanism of Action?

Answer 2

B agonist (primarily B2); relaxes bronchial smooth muscle, resulting in bronchodilation; also relaxes vascular & uterine smooth muscle; decreases airway resistance.

Question 3

Indications?

Answer 3

Treatment of Bronchospasm

Treatment of Hyperkalemia

Question 4

Contraindications?

Answer 4

Synergistic with other sympathomimetics

Use caution in patients with diabetes, hyperthyroidism, & cerebrovascular disease.

Question 5

Side Effects?

Answer 5

CV: Dysrhythmias, tachycardia (with excessive use), peripheral vasodilation.
RESP: Bronchospasm (rare paradoxical with excessive use)
CNS: Tremors, Nervousness
GI: Nausea, Vomiting
Endocrine: Hyperglycemia

Question 6

Adult Dose?

Answer 6

2.5 mg of premixed solution for inhalation (0.083%) via SVN with a mouth piece, or in-line with a ventilatory device. Repeated according to medical Control preference.

Question 7

Pediatric Dose?

Answer 7

<40 lbs
2.5 mg of premixed solution for inhalation (0.083%) via SVN with a mouth piece, mask, or in-line with a ventilatory device. Repeated according to medical control preference.
May administer up to 5 mg per dose according to medical control preference.

Question 8

Onset?

Answer 8

Onset of Action:  5-15 minutes.
 Peak Effects:  30 minutes - 2 hours.
Duration of Action:  3-4 hours.
-Nebulized, mouth piece or in-line via mask 
-Inhaler, patients own
-ET/NT in-line

Question 9

Special Notes?

Answer 9

Must be sulfite free
Drug interactions: Tricyclic antidepressants (TCA's) & monoamine oxidase (MAO) inhibitors 
Other Sympathomimetics (relative)

Question 10

Trade Name?

Answer 10

Proventil