Drug Name Dosage & Route Action Indication Adverse Effects Contraindication Nursing Responsibility

Bronchospasm Synthetic Pregnancy (category C),

ALBUTEROL Adult: PO 2–4 mg sympathomimetic amine To relieve bronchospasm Body as a Whole: lactation. Use of oral Assessment & Drug Effects
(al-byoo'ter-ole)) 3–4 times/d, 4–8 and moderately selective associated with acute or Hypersensitivity reaction. syrup in children <2 y.
mg sustained beta2-adrenergic agonist chronic asthma, CNS: Tremor, anxiety,
Accuneb, release 2 times/d with comparatively long bronchitis, or other nervousness, restlessness, • Monitor therapeutic
action. Acts more convulsions, weakness, effectiveness which is
Inhaled 1–2 reversible obstructive
Novosalmol , prominently on beta2 headache, hallucinations. indicated by significant
inhalations q4–6h airway diseases. Also used
Proventil, Proventil receptors (particularly CV: Palpitation, subjective improvement
Child: PO 2–6 y, to prevent exercise-
HFA, Proventil smooth muscles of hypertension, in pulmonary function
0.1–0.2 mg/kg t.i.d. induced bronchospasm.
Repetabs, Salbutamol, bronchi, uterus, and hypotension, bradycardia, within 60–90 min after
(max: 4 mg/dose);
Ventolin, Ventolin vascular supply to skeletal reflex tachycardia. Special drug administration.
6–12 y, 2 mg 3–4
Rotocaps, Volmax muscles) than on beta1 Senses: Blurred vision, • Monitor for: S&S of fine
times/d; Inhaled 6–
12 y, 1–2 (heart) receptors. Minimal dilated pupils. GI: tremor in fingers, which
Classifications: or no effect on alpha- Nausea, vomiting. Other: may interfere with
inhalations q4–6h
autonomic nervous adrenergic receptors. Muscle cramps, precision handwork;
system agent; beta- Inhibits histamine release hoarseness. CNS stimulation,
adrenergic agonist by mast cells. particularly in children
(sympathomimetic); 2–6 y, (hyperactivity,
bronchodilator excitement, nervousness,
(respiratory smooth insomnia), tachycardia,
muscle relaxant) GI symptoms. Report
promptly to physician.
• Lab tests: Periodic
ABGs, pulmonary
functions, and pulse
oximetry.
• Consult physician about
giving last albuterol dose
several hours before
bedtime, if drug-induced
insomnia is a problem.