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Albuterol

Albuterol
(Proventil®, Ventolin®)

CLASS

Sympathomimetic
Relatively selective beta-2 adrenergic bronchodilator

DOSAGE

    If >1 year or >10 kg: add 2.5 mg of Albuterol mixed in 3 ml of NS (0.083%) to nebulizer and flow oxygen at 6-8 liters/min.

    If less than1 year or less than10 kg: add 1.25 mg of Albuterol mixed in 1.5 ml of NS (0.083%) to nebulizer and flow oxygen at 3 liters/min.

    Treatment will be delivered over approximately 5 to 15 minutes.

    ACTIONS

      Albuterol is primarily a beta-2 sympathomimetic and as such produces bronchodilation. Because of its greater specificity for beta-2 adrenergic receptors it produces fewer cardiovascular side effects and more prolonged bronchodilation than isoproterenol. Onset is within 15 minutes peaks in 60-90 minutes. Therapeutic effects may be active up to 5 hours.

    INDICATIONS

      Albuterol inhaler is indicated for relief of bronchospasm in patients with reversible obstructive airway disease including asthma.

    CONTRAINDICATIONS

      Albuterol is contraindicated in patients with a history of hypersensitivity.

    WARNINGS

      Use cautiously in patients with coronary artery disease, hypertension, hyperthyroidism, and diabetes. Epinephrine should not be used subsequent to a failure of the other. Administer cautiously to patients on MAO inhibitors or tricyclic anti-depressants. Beta-Blockers and Albuterol will inhibit each other.

    SIDE EFFECTS

      Cardiovascular: Tachycardia, hypertension, and angina

      CNS:Nervousness, tremor, headache, dizziness, and insomnia.

      GI:Drying of oropharynx, nausea, and vomiting, unusual taste.

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