G e ne ric nam e T rad e na m e Cla ssification Route T im e/Freq uencyNorm a l Dos age - 3x's daily - every 6 -8 levalb utero l X openex bro nchod ilators nebulization hours m ay b e increased to 1.2 5m g 3x's daily. In dic ations-broncho spasm due to reversib le airwayC ontrain dica tions /w arnings/interactions - hype rsensitivity to dise ase (short-term co ntrol agent) levalbuterol or albuterol; cardiovascular diso rde rs; histo ry of seizure hypokalem ia; hyperthroidism; diabetes ; unusual sensitivity to adrenerg ic amines; pregnancy; lactation; concurrent use or within weeks of tricyclic antidepressants or MA O Is (m ay increase the re o f adverse card io vascular reactio ns) M echanism of actionR elaxation of airway sm oo th C om m o n s ide effects-anxiety; dizziness; headache; nervo usne ss; m uscle with sub sequent bronchodilation. Re latively increased co ugh; parad oxical bronchospasm ; turb inate e dem a; se le ctive fo r be ta-2 (pulmo nary) rece ptors tachycard ia; dyspepsia; hyperg lycemia; hyp okalem ia.
Lab va lue altera tions-
Nursing C ons iderationsassess lung sounds; pulse; blood pressure b efo re and during peak of m edication; Note color and am ount o f spu p rod uced ; m onito r pulm onary functio n tests b efo re the rap y; o bserve whe ezing. In terac tions w ith other p atient dru gs , O T C , or he rbal m ed icines-concurre nt use o r use within 2 wks of tricyclic antid epressnats or MAO Is m ay increase risk o f adverse cardiovascular reactions; B eta-b lockers ; potassiumWhy w o uld you hold or no t g ive E va lua tion-preve ntion or relief losing diuretics; dig oxin; hydrocarbon inhalation this m e d?If whee zing occurs o f broncho spas m. ane sthetics; cocaine; guarana; tea; coffee . withhold m e dication and call d octor