Respiratory Flashcards
Albuterol (Ventolin) (Respiratory)
Action: B2 stimulator, B adrenergic stimulator,
smooth muscle relaxation
(Primary B2, more dose = more B1 actions)
Indications: Brochial asthma, Bronchocospasm
Dose: 2.5-5 mg nebulized
SFx: Irritability, TachyC, HTN, Dry mouth, CNS stimulation
Notes: Can give when intubated. Deep breaths. Some forms may cause allergies
Aminophylline (Theophylline) (Respiratory)
Action: Relaxes bronchial tract smooth muscles
(non-adrenergic), derived from caffeine
Indications: Bronchoconstriction, Bronchospasm
(Asthma, COPD)
Dosage: 5mg/kg over 20 min, IV infusion
SFx: Nervous, TachyC, Seizures, Hypotxn
Notes: Slow admin. Increase dose if pt needs adenosine
Dexamethasone (Decadrone) (Respiratory)
Action: Long acting steroid, suppresses immune and
inflammatory response. Glucocorticoid.
Indications: Allergic reactions, Asthma
Dose: 4mg slow IVP
SFx: Headache, restless, HTN, CHF, Fluid retention
Notes: Caution in pt with CHF, HTN
Hydrocortisone (Solu-Cortef) (Respiratory)
Action: Anti-Inflammatory Corticosteroid
Indications: Asthma, COPD, Acute allergic reaction
Dose: 15-240 mg IVP
SFx: Headache, CHF, HTN, Fluid retention
Notes: Caution in pt with CHF, HTN
Ipratropium (Atrovent) (Respiratory)
Action: Anticholinergic. Block action of PNS.
Bronchodilator and dried bronchial secretions.
Indications: Bronchospasm (Asthma, COPD)
Dose: .5 mg nebulized
SFx: Headache, TachyC, Dry mouth, GI distress, Nervous, Flushed
Notes: Can’t use if pt has narrow angle glaucoma, drug is same class
as atropine
Levalbuterol (Xonpenex) (Respiratory)
Action: Bronchodilator. Beta adrenergic stimulator
(Primary B2, More dose = more B1 action,
Refined form of albuterol)
Indications: Bronchoconstriction (Asthma, COPD, CHF)
Dose: .63 mg nebulized
SFx: Headache, Dizzy, TachyC, Paradoxical bronchospasm
Notes: Ok in pt with peanut allergy. ECG before admin. Peak flow before and after admin
Magnesium Sulfate (Respiratory)
Action: Essential electrolyte, Causes bronchial dilation
Indication: Asthma that does not respond to albuterol
Dose: 2 grams/100 cc NSS over 2-5 min
SFx: Drowsy, Resp depression, Hypotxn, BradyC
Notes: Rapid admin can = Cardiac and Resp arrest. Calcium chloride to counteract effect
Metaproteranol (Alupent) (Respiratory)
Action: B2 stimulator, Bronchodilator, smooth muscle
relaxation (Primary B2, More dose = more B1 effect)
Indications: Asthma, COPD, CHF, Bronchospasm
Dose: 10-15 mg nebulized
SFx: Nervousness, HTN, Arrythmia, Chest pain, TachyC
Notes: Check peak flow before and after admin
Methylprednisolone (Solu-Medrol) (Respiratory)
Action: Steroid, suppresses immune and inflammatory
response. Glucocorticoid
Indications: Asthma, COPD, Acute allergic reactions
Dose: 100-200 IVP
SFx: Depression, Headache, HTN, CHF, Fluid retention
Notes: Certain antibiotics increase time drug stays in body. Must be reconstituted to administer
Racemic Epinenephrine (Vaponefrin) (Respiratory)
Action: Increase Alpha and Beta stimulation. Used in resp pts for B2
Indications: Laryngotracheobronchitis (croup), severe bronchoconstriction unrelieved by albuterol
Dose: .5 ml of 2.25% Epi in 2-3 cc of NSS, nebulized
SFx: TachyC, Headache, Nervous, Arrythmia
CI: Tuberculosis
Notes: SFx can onset quickly, closely monitor pt
Terbulatine (Brethine) (Respiratory)
Action: B2 stimulator. B adrenergic agent, Bronchodilator
Indications: Bronchoconstriciton, Acute bronchial asthma,
Bronchospasm (Asthma, COPD)
Dose: .25 mg SQ 15-30min or .2-.5 mg nebulized
SFx: ECG ectopic, restless, TachyC, SOB
Notes: Can stop premature labor. Usually after 1st beta agonist failed
Epinephrine (Adrenalin) (Respiratory)
Action: A, B1, B2 stimulator, Smooth muscle relaxation
Indication: Acute bronchial asthma, Bronchospasm
Dose: .3-.5 mg (1:1,000) IM, SC
SFx: Anxiety, TachyC, Rapid jump in BP
Notes: Caution in pts with v-fib
