Asthma/COPD

Question 1

Indications for Salbutamol therapy are (list 2)

Answer 1

• Bronchospasm associated with asthma, bronchitis or emphysema
• Bronchospasm & wheezing secondary to other causes, such as anaphylaxis

Question 2

Asthma patients with severe / life threatening bronchoconstriction that is refractory to salbutamol therapy may be treated medically with __________ (medication, dose, and route) after mandatory clinicall consult.

Answer 2

Epinephrine, 0.5mg IM

Question 3

Epinephrine may be used for failing respirations in patients with treatment-resistant ________ (asthma/copd/both)

Answer 3

Asthma

Question 4

Contraindications for Salbutamol therapy are (list 2)

Answer 4

• Hypersensitivity
• Hemodynamically significant tachyarrhythmias

Question 5

Pediatric dosing for salbutamol is (give both dosages and age ranges)

Answer 5

5. 0mg for > 1 yr of age.
6. 5mg for < 1 yr. of age.

Question 6

Patients experiencing an asthma/COPD exacerbation should be positioned __________

Answer 6

upright

Question 7

Asthma/COPD patients with failing repsirations should be treated with _____

Answer 7

IPPV (Intermittent Positive Pressure Ventilations)

Question 8

Oxygen should be run through a nebulizer at a flow rate of _____ (range) LPM to ensure proper misting of the medication

Answer 8

6 - 8 LPM

Question 9

Adult dosage for nebulized salbutamol is ___ mg in ___ mL of N/S

Answer 9

5 mg in 5 mL

Question 10

CPAP may be considered for asthma/COPD patients _____ (after/alongside/before) treatment with salbutamol.

Answer 10

After

In-line nebulization of salbutamol is possible alongside CPAP, but should only be attempted after traditional bronchodilator therapy has already been initiated.

Question 11

Precautions for Salbutamol administration are (list 3)

Answer 11

• Coronary disease (increased ­MVO2)
• COPD pts with degenerative heart disease.
• Diabetes (decreases the effectiveness of insulin)

Question 12

When using inline nebulization with CPAP and a single O₂ tank, the oxygen flow rate should be adjusted to ___ LPM above the manufacturer-recommended flow rate

Answer 12

7 LPM

Question 13

Signs of Salbutamol toxicity are ____________ and should prompt discontinuation of salbutamol therapy

Answer 13

H.R > 150 (>200 in pediatric patients) or severe tremor or ventricular dysrhythmias

Question 14

The onset of Salbutamol is ___ minutes

Answer 14

5

Question 15

Asthma/COPD patients with dyspnea that is not relieved with bronchodilator therapy may be treated with _____ (non-pharmaceutical intervention) after mandatory clinicall consult

Answer 15

CPAP

Intermittent Positive Pressure Ventilations (IPPV) should be administered if respirations are failing in the asthma/COPD patient refractory to bronchodilator therapy