NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name AccuNeb, Airet Albuterol Sulfate, nebulizer Peak Onset 60-90 min
Classification bronchodilators
5-15 min
Duration
Dose 0.83 mg/ml
Route Time/frequency nebulizer Q 4 hrs PRN
For IV meds, compatibility with IV drips and /or solutions
3-6 hr
Mechanism of action and indications (Why med ordered) shortness of breath
Nursing Implications (what to focus on) Contraindications/warnings/interactions Geriatric patients (↑ risk adverse reactions; may require dosage reduction) Excess inhaler use may lead to tolerance and paradoxical bronchospasm
Common side effects nervousness, restlessness, tremor, headache, chest pain, palpitations,
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)
Lab value alterations caused by medicine May cause transient ↓ in serum potassium concentrations with nebulization or higher-than-recommended doses
Be sure to teach the patient the following about this medication Instruct patient to contact health care professional immediately if shortness of breath is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain Inform patient that albuterol may cause an unusual or bad taste
Nursing Process- Assessment (Pre-administration assessment) Assess lung sounds, pulse, and blood pressure before administration and during peak of medication. Note amount, color, and character of sputum produced
Assessment Why would you hold or not give this med? Observe for paradoxical bronchospasm (wheezing). If condition occurs, withhold medication and notify physician or other health care professional immediately
Evaluation Check after giving Prevention or relief of bronchospasm