Albuterol Proventil

INDEX Generic Name albuterol

Trade Name Proventil

Peak 60-90 min

Onset 5-15 min

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency = bronchodilator 1-2 Inhaled q4 hr 2.5mg (Aero) Duration Normal Dosage range 2 inhalations q 4-6 hr 3-6 hr

Why is your patient taking this medication? Open lungs to increase breathing

For IV meds, compatability with IV drips and/or solutions

Mechanism of action and indications Bronchodilation - relax the smooth muscles

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity; caution in patients with cardiac disease; HTN; hyperthyroidism; diabetes; glaucoma; seizure disorders; pregnancy; lactation

prevent and treat bronchospasms in a patient with reversible obstructive airway disease prevention of bronchospasms Relatively selective for beta2 (pulmonary)

Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) adrenergic agents; MAOIs; beta blockers; digoxin; tricyclic antidepressants; potassium-losing diuretics; CNS stimulants

Nursing Process - Assessment (Pre-administration assessment Assess lung sounds, pulse, and BP monitor pulmonary function tests; observe for wheezing

Common side effects nervousness, restlessness, tremor; headache; insomnia; hyperactivity; chest pain; palpitations; angina; arrhythmias; hypertension; nausea; vomiting; hyperglycemia; hypokalemia; tremor; dry and irritated nose and throat; nasal congestion; hoarsness; bad taste in mouth; cough; wheeze; increased sputum Lab value alterations caused by medicine decrease in serum potassium concentrations

Be sure to teach the patient the following about this medication Proper use of metered-dose inhaler; Use albuterol first if using other inhalation medications, wait 5 minutes to elapse before administering other inhalant. Rinse mouth after use; wash mouthpiece once a week

Assessment Why would you hold or not give this med? wheezing

Evaluation Check after giving Improved breathing relief of bronchospasm