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NURS 2516 Clinical Medications Worksheets

Generic Trade Name Classification Dose Route Time/frequency

Name 1.25 mg = 5
Levalbuterol Xopenex Bronchodilator mL Neb QID
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions

90 Min 10-17 Min 5-6 hr N/A

Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
R-enantiomer of racemic albuterol binds to beta-2 Hypersensitivity to albuterol or levabuterol
adrenergic receptors in airway smooth muscle leading
to activation a adenylcyclase and increased levels of Common side effects
cyclic-3’, 5’-adenosine monophosphate (cAMP). CNS: anxiety, dizziness, headache, nervousness. RESP:
Increases in cAMP activate kinase, which inhibit the increased cough, bronchospasm, turbinate edema. CV:
phosphorylation of myosin and decrease intracellular tachycardia. ENDO: hyperglycemia OTHER: hypokalemia,
calcium. Decreased intracellular calcium relaxes tremor
bronchial smooth muscle. = Relaxation of airway
smooth muscle with subsequent bronchodilation.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause increased serum glucose and decreased Serum K+
None for this patient
Be sure to teach the patient the following about this
Proper use of the nebulizer, avoid smoking, contact physician
if shortness of breath occurs or is not relieved, advise good
oral care
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess lung sounds, pulse and Blood med? Lung sounds, pulse and Blood
pressure before and during administration. Paradoxical bronchospasm (wheezing) Pressure.
Monotor pulmonary function tests Tachycardia or signs of tachycardia